BKAT ICU POST TEST
1. Nitroprusside purpose: decreases preload and afterload by vasodilation (mainly
afterload)
2. Dobutamine mechanism of action: contractility
3. Dopamine at a low-end dose "renal dose": 0.5-
4mcg/kg/min increases renal and mesentric perfusion
4. Dopamine at a mid-range dose: 4-
10mcg/kg/min increases contractility and heart rate
5. Dopamine at a high-range dose: greater than
10mcg/kg/min vasoconstriction and increases BP
6. Dopamine and Levophed infiltration: leads to tissue necrosis
7. Dopamine antidote: regitine (phentolamine)
8. TpA monitor for: bleeding-hemorrhagic CVA
9. diltiazem (cardizem) works by?: (calcium channel blocker) slows ventricular rate by
slowing conduc- tion through the SA and AV node
10. Diltazem (cardizem) biggest effect on which hemodynamic:
hypotension
11. diltazem is used for patients with: a-fib or a-flutter
12. amiodarone (Cordarone) is a:
antiarrythmic prolongs the cardiac duration
13. You MUST use a when using amiodarone
infusion: 0.22 micron filter
1/
18
,14. Watch out for in patients on a
amiodarone infusion: hypotension, prolongation of QT interval and bradycardia
15. amiodarone is used for patients with: a-fib, a-flutter and VT
16. how much amiodarone is given to a stable VT with a pulse
and a unstable pulseless VT/VF?: 150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
17. Epinephrine has what effect on the body?: increases HR, BP, and
contractility
18. what is the first line drug for pulseless arrest?: Epinephrine
19. What rhythms are considered fatal?: V-fib, Vtach (pulseless), and asystole
20. Epinephrine is also given for?: anaphylaxis and as a vasopressor for
hypotension
21. Heparin is used for? Antidote is?:
anticoagulant Protamine Sulfate
22. What is the osmotic diuretic of choice to decrease intracranial
pressure?: man- nitol
23. How does mannitol work?: pulls fluids into intravascular space to be excreted by the
kidneys to reduce intracranial pressure
24. what insulin is given IV?
What is the peak?: Regular insulin can only be
given IV 2-4 hr peak time
25. Which insulin has a peak of 8-14 hrs?: NPH
26. Atropine is ineffective in which heart rhythms types?: high degree AV
blocks: 2nd degree type2 and 3rd degree
2/
18
, 27. Atropine works by?: increasing heart rate-increasing conduction through SA node
28. Atropine is given to treat?: symptomatic bradycardia
29. Dilantin is given to treat: seizure disorders
30. DO NOT give with dilantin
because will happen.: DO NOT give with dextrose containing solutions
because it will crystalize
31. Which corticosteroid is usually given in insufficient adrenal
activity or hyper- sensitivity/inflammation reactions?: Cortisone
32. If chronically using
cortisone be sure to to prevent .: If chronically
using cortisone be sure to taper the medications to prevent acute adrenal insuflciency
33. This medication is a cardiac glycoside that increases
contractility.: Digoxin
34. Digoxin increases contractility by: slowing the heart rate which decreases
conduction through the AV node
35. What should be monitored in patients taking Digoxin?: hypotension,
bradycardia, and symptoms of toxicity
36. Signs/Symptoms of Digoxin toxicity: nausea, yellow vision/halo, paroxysmal
atrial tachycardia (PAT with block).
37. True/Flase:
Digoxin WILL NOT cause rapid AV conduction or hypertension: True
38. what medication is a antiarrhythmic that suppresses
automaticity and depo- larization?: lidocaine
39. Lidocaine is used to treat?: ventricular dysrhythmias
3/
18
1. Nitroprusside purpose: decreases preload and afterload by vasodilation (mainly
afterload)
2. Dobutamine mechanism of action: contractility
3. Dopamine at a low-end dose "renal dose": 0.5-
4mcg/kg/min increases renal and mesentric perfusion
4. Dopamine at a mid-range dose: 4-
10mcg/kg/min increases contractility and heart rate
5. Dopamine at a high-range dose: greater than
10mcg/kg/min vasoconstriction and increases BP
6. Dopamine and Levophed infiltration: leads to tissue necrosis
7. Dopamine antidote: regitine (phentolamine)
8. TpA monitor for: bleeding-hemorrhagic CVA
9. diltiazem (cardizem) works by?: (calcium channel blocker) slows ventricular rate by
slowing conduc- tion through the SA and AV node
10. Diltazem (cardizem) biggest effect on which hemodynamic:
hypotension
11. diltazem is used for patients with: a-fib or a-flutter
12. amiodarone (Cordarone) is a:
antiarrythmic prolongs the cardiac duration
13. You MUST use a when using amiodarone
infusion: 0.22 micron filter
1/
18
,14. Watch out for in patients on a
amiodarone infusion: hypotension, prolongation of QT interval and bradycardia
15. amiodarone is used for patients with: a-fib, a-flutter and VT
16. how much amiodarone is given to a stable VT with a pulse
and a unstable pulseless VT/VF?: 150mg over 10min for VT with pulse
300mg push; repeat x1 at 150mg
17. Epinephrine has what effect on the body?: increases HR, BP, and
contractility
18. what is the first line drug for pulseless arrest?: Epinephrine
19. What rhythms are considered fatal?: V-fib, Vtach (pulseless), and asystole
20. Epinephrine is also given for?: anaphylaxis and as a vasopressor for
hypotension
21. Heparin is used for? Antidote is?:
anticoagulant Protamine Sulfate
22. What is the osmotic diuretic of choice to decrease intracranial
pressure?: man- nitol
23. How does mannitol work?: pulls fluids into intravascular space to be excreted by the
kidneys to reduce intracranial pressure
24. what insulin is given IV?
What is the peak?: Regular insulin can only be
given IV 2-4 hr peak time
25. Which insulin has a peak of 8-14 hrs?: NPH
26. Atropine is ineffective in which heart rhythms types?: high degree AV
blocks: 2nd degree type2 and 3rd degree
2/
18
, 27. Atropine works by?: increasing heart rate-increasing conduction through SA node
28. Atropine is given to treat?: symptomatic bradycardia
29. Dilantin is given to treat: seizure disorders
30. DO NOT give with dilantin
because will happen.: DO NOT give with dextrose containing solutions
because it will crystalize
31. Which corticosteroid is usually given in insufficient adrenal
activity or hyper- sensitivity/inflammation reactions?: Cortisone
32. If chronically using
cortisone be sure to to prevent .: If chronically
using cortisone be sure to taper the medications to prevent acute adrenal insuflciency
33. This medication is a cardiac glycoside that increases
contractility.: Digoxin
34. Digoxin increases contractility by: slowing the heart rate which decreases
conduction through the AV node
35. What should be monitored in patients taking Digoxin?: hypotension,
bradycardia, and symptoms of toxicity
36. Signs/Symptoms of Digoxin toxicity: nausea, yellow vision/halo, paroxysmal
atrial tachycardia (PAT with block).
37. True/Flase:
Digoxin WILL NOT cause rapid AV conduction or hypertension: True
38. what medication is a antiarrhythmic that suppresses
automaticity and depo- larization?: lidocaine
39. Lidocaine is used to treat?: ventricular dysrhythmias
3/
18
