BCPS Test Questions With Complete Solutions

BCPS Test Questions With Complete Solutions Loop diuretics conversion Bumetanide-torsemide-furosemide-ethacrynic acid - ANSWER 0.5-10-20-25 HF max dose: captopril - ANSWER 50 TID HF max dose:enalapril - ANSWER 10 BID HF max lisinopril - ANSWER 20 daily HF max ramipril - ANSWER 10 daily HF max losartan - ANSWER 150 daily HF max valsartan - ANSWER 150 BID HF max carvedilol - ANSWER 25 BID HF max Metoprolol S - ANSWER 200 daily Digoxin HF trough level - ANSWER 0.5-0.9 Non-selective beta blockers - ANSWER labetalol, carvedilol Use if AF and HTN Dabigatran renal dosing - ANSWER CrCl>30: 150 BID CrCl 15-30:75 BID CrCl<15 CI Antidote:idarucizumab Normal CVP - ANSWER 8-12 mmHg Dopamine AE - ANSWER arrhythmias- can be used in tachycardia Prolonged infusion can deplete endogenous NE stores- loss of vasopressor response lowdose-beta1, DA moderate- all high-alpha1,beta1, DA Phenylephrine AE - ANSWER reflex bradycardia, reduction in CO Minimal cardiac activity- alpha 1 only Use in vasopressor-induced tachycardia or persistent hypotension Dobutamine AE - ANSWER MI- tacharrhythmias, change in BP Hypotension alpha 1, beta 1, beta 2 Milrinone - ANSWER hypotension, arrythmias renal adjustment NE AE - ANSWER alpha 1, beta 1 peripheral ischemia induce tachyarrhythmias, MI Epinephrine AE - ANSWER all receptors increase blood glucose, lactate Vasopressin AE - ANSWER peripheral vasoconstriction, peripheral necrosis No adrenergic activity-can be used in acidosis, hypoxia Max dose 0.04 units/min PCO2 normal values - ANSWER 35-45 mm Hg HCO3- normal values - ANSWER 22-26 mEq/L AG equation - ANSWER AG = Na - (Cl + HCO3) NL = 5-15 Hypothermia ROSC - ANSWER 32-36C x 12-24h SaO2 ROSC - ANSWER 94% or higher Lorazepam (Ativan) adverse effects - ANSWER propylene glycol toxicity: osmolol gap>10-12 Potentiate neuromuscular blcokers - ANSWER ABX (AMG, clinda, tetracyclines, polymyxins) CCB Furosemides 1a antiarrhythmics Li hypermag, low Ca, low K Antagonize neuromuscular blockers - ANSWER aminophylline, theophylline, phenytoin Carbamazepine High Ca, High K How often to monitor BG if critical care patients on continuous insulin infusion? - ANSWER BG q1-2h Indication for PPI prophylaxis in ICU patients - ANSWER mechanical ventilation >48 hours Coagulopathy- INR>1.5, APTT>2x, Plt<50K 2 or more of the following: Injury, burn, surgery, transplant, trauma hypoperfusion Protein needs in critical care patients - ANSWER Normal: 1.2-2 g/kg of ABW AKI 0.6-0.8 g/kg/day Burn 3g/kg/day SAH BP goal - ANSWER SBP<160 with nicardipine, clevidipine Corticosteroids dose requiring PPI prophylaxis - ANSWER 250mg/day of hydrocrotisone