ACCS Study Guide 2024/2025 Exam
Questions and Answers | A+ Score
Assured
Nitroglycerin - 🧠ANSWER ✔✔Vasodilator
- Indication: angina pectoris (sublingual)
decreases PVR, BP, & PAP
Propanolol - 🧠ANSWER ✔✔Beta Blocker
Indication- Tachyarrhythmias, reentry, anti-ischemic effects
Decreases HR
Effective in pt's w/ sustained tachyarrhytmias
Lidocaine - 🧠ANSWER ✔✔TX of ventricular arrhythmias, MI, digoxin
toxicity
- Vasodilator
- decreases HR, treats PVC's
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STATEMENT. ALL RIGHTS RESERVED
,Digitalis - 🧠ANSWER ✔✔Anti-rhythmic (slows AV conduction in afib &
flutter)
- treats chf
- use in patients w/ R heart failure (watch for increased CVP's)
*may cause hyperkalemia
Labetolol - 🧠ANSWER ✔✔Used to treat arrhytmias, post MI, angina, acute
HTN
- decreases BP & HR
- Beta blocker
Epinephrine - 🧠ANSWER ✔✔Vasopressor
- indications include cardiac arrest, asystole
increases HR & BP
Widely used during CPR
Can also be used for anaphylaxis and upper airway edema
Atropine - 🧠ANSWER ✔✔treats bradycardia
- used for reversal of anticholinergic MG crisis
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
,Adenosine - 🧠ANSWER ✔✔Treats supraventricular tachycardia
Nitric Oxide (iNO) - 🧠ANSWER ✔✔Improves oxygenation and acts as a PA
vasodilator
- initial dose 20-40 ppm
(should not exceed 80 ppm)
May cause methehemoglobin levels to rise
Epoprostenol Sodium (Flolan) - 🧠ANSWER ✔✔Indications: ARDS,
refractory hypoxemia, cardiac surgery associated pulm HTN
May cause hypoTN and tachycardia
-can also be known as prostacyclin or PG12
-Given aersolized or IV
Sildenafil - 🧠ANSWER ✔✔- AKA Viagra/Revatio
Decreases PAP & PVR
Dexmedetomidine - 🧠ANSWER ✔✔- Precedex
Non-Benzo sedation
Short acting (10 mins0
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
, Side effects: Hypo/HyperTN & A fib
Propofol - 🧠ANSWER ✔✔Diprivan
Non-Benzo Sedation
- Commonly used as induction agent in RSI
-Short life, fast acting (good for weaning off MV.)
-May Cause HYPOtension.
What other drug would the ACCS consider instead of Propofol for RSI? -
🧠ANSWER ✔✔Etomidate
- Does not cause hypoTN, but may cause adrenal suppression
Nembutal - 🧠ANSWER ✔✔- Phenobarbital
Barbituate
- Strong sedative
- Decreases ICP (used in ICPs > 26)
Acenctine - 🧠ANSWER ✔✔Succinylcholine
- Depolarizing agent
- Rapid onset, short duration
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
4
STATEMENT. ALL RIGHTS RESERVED
Questions and Answers | A+ Score
Assured
Nitroglycerin - 🧠ANSWER ✔✔Vasodilator
- Indication: angina pectoris (sublingual)
decreases PVR, BP, & PAP
Propanolol - 🧠ANSWER ✔✔Beta Blocker
Indication- Tachyarrhythmias, reentry, anti-ischemic effects
Decreases HR
Effective in pt's w/ sustained tachyarrhytmias
Lidocaine - 🧠ANSWER ✔✔TX of ventricular arrhythmias, MI, digoxin
toxicity
- Vasodilator
- decreases HR, treats PVC's
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
,Digitalis - 🧠ANSWER ✔✔Anti-rhythmic (slows AV conduction in afib &
flutter)
- treats chf
- use in patients w/ R heart failure (watch for increased CVP's)
*may cause hyperkalemia
Labetolol - 🧠ANSWER ✔✔Used to treat arrhytmias, post MI, angina, acute
HTN
- decreases BP & HR
- Beta blocker
Epinephrine - 🧠ANSWER ✔✔Vasopressor
- indications include cardiac arrest, asystole
increases HR & BP
Widely used during CPR
Can also be used for anaphylaxis and upper airway edema
Atropine - 🧠ANSWER ✔✔treats bradycardia
- used for reversal of anticholinergic MG crisis
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
,Adenosine - 🧠ANSWER ✔✔Treats supraventricular tachycardia
Nitric Oxide (iNO) - 🧠ANSWER ✔✔Improves oxygenation and acts as a PA
vasodilator
- initial dose 20-40 ppm
(should not exceed 80 ppm)
May cause methehemoglobin levels to rise
Epoprostenol Sodium (Flolan) - 🧠ANSWER ✔✔Indications: ARDS,
refractory hypoxemia, cardiac surgery associated pulm HTN
May cause hypoTN and tachycardia
-can also be known as prostacyclin or PG12
-Given aersolized or IV
Sildenafil - 🧠ANSWER ✔✔- AKA Viagra/Revatio
Decreases PAP & PVR
Dexmedetomidine - 🧠ANSWER ✔✔- Precedex
Non-Benzo sedation
Short acting (10 mins0
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, Side effects: Hypo/HyperTN & A fib
Propofol - 🧠ANSWER ✔✔Diprivan
Non-Benzo Sedation
- Commonly used as induction agent in RSI
-Short life, fast acting (good for weaning off MV.)
-May Cause HYPOtension.
What other drug would the ACCS consider instead of Propofol for RSI? -
🧠ANSWER ✔✔Etomidate
- Does not cause hypoTN, but may cause adrenal suppression
Nembutal - 🧠ANSWER ✔✔- Phenobarbital
Barbituate
- Strong sedative
- Decreases ICP (used in ICPs > 26)
Acenctine - 🧠ANSWER ✔✔Succinylcholine
- Depolarizing agent
- Rapid onset, short duration
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
4
STATEMENT. ALL RIGHTS RESERVED
