BKAT ICU POST TEST QUESTIONS WITH 100%
CORRECT ANSWERS
Nitroprusside purpose CORRECT ANSWER decreases preload and afterload by vasodilation (mainly afterload)
Dobutamine mechanism of action CORRECT ANSWER contractility
Dopamine at a low-end dose "renal dose" CORRECT ANSWER 0.5-4mcg/kg/min increases renal and mesentric perfusion
Dopamine at a mid-range dose CORRECT ANSWER 4-10mcg/kg/min increases contractility and heart rate
Dopamine at a high-range dose CORRECT ANSWER greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration CORRECT ANSWER leads to tissue necrosis
Dopamine antidote CORRECT ANSWER regitine (phentolamine)
TpA monitor for CORRECT ANSWER bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? CORRECT ANSWER (calcium channel blocker) slows ventricular rate by slowing conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic CORRECT ANSWER hypotension
diltazem is used for patients with CORRECT ANSWER a-fib or a-flutter
amiodarone (Cordarone) is a CORRECT ANSWER antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion CORRECT ANSWER 0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion CORRECT ANSWER hypotension, prolongation of QT interval and bradycardia
amiodarone is used for patients with CORRECT ANSWER a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable pulseless VT/VF? CORRECT ANSWER 150mg over 10min for VT with pulse 300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? CORRECT ANSWER increases HR, BP, and contractility
what is the first line drug for pulseless arrest? CORRECT ANSWER Epinephrine
What rhythms are considered fatal? CORRECT ANSWER V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? CORRECT ANSWER anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is? CORRECT ANSWER anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? CORRECT ANSWER mannitol
How does mannitol work? CORRECT ANSWER pulls fluids into intravascular space to be excreted by the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? CORRECT ANSWER Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? CORRECT ANSWER NPH
Atropine is ineffective in which heart rhythms types? CORRECT ANSWER high degree AV blocks: 2nd degree type2 and 3rd degree
Atropine works by? CORRECT ANSWER increasing heart rate-increasing conduction through SA node
Atropine is given to treat? CORRECT ANSWER symptomatic bradycardia
Dilantin is given to treat CORRECT ANSWER seizure disorders
DO NOT give __________ with dilantin because ________ will happen. CORRECT ANSWER DO NOT give with dextrose containing solutions because it will crystalize
Which corticosteroid is usually given in insufficient adrenal activity or hypersensitivity/inflammation reactions? CORRECT ANSWER Cortisone
CORRECT ANSWERS
Nitroprusside purpose CORRECT ANSWER decreases preload and afterload by vasodilation (mainly afterload)
Dobutamine mechanism of action CORRECT ANSWER contractility
Dopamine at a low-end dose "renal dose" CORRECT ANSWER 0.5-4mcg/kg/min increases renal and mesentric perfusion
Dopamine at a mid-range dose CORRECT ANSWER 4-10mcg/kg/min increases contractility and heart rate
Dopamine at a high-range dose CORRECT ANSWER greater than 10mcg/kg/min
vasoconstriction and increases BP
Dopamine and Levophed infiltration CORRECT ANSWER leads to tissue necrosis
Dopamine antidote CORRECT ANSWER regitine (phentolamine)
TpA monitor for CORRECT ANSWER bleeding-hemorrhagic CVA
diltiazem (cardizem) works by? CORRECT ANSWER (calcium channel blocker) slows ventricular rate by slowing conduction through the SA and AV node
Diltazem (cardizem) biggest effect on which hemodynamic CORRECT ANSWER hypotension
diltazem is used for patients with CORRECT ANSWER a-fib or a-flutter
amiodarone (Cordarone) is a CORRECT ANSWER antiarrythmic
prolongs the cardiac duration
You MUST use a __________ when using amiodarone infusion CORRECT ANSWER 0.22 micron filter
Watch out for ____________ in patients on a amiodarone infusion CORRECT ANSWER hypotension, prolongation of QT interval and bradycardia
amiodarone is used for patients with CORRECT ANSWER a-fib, a-flutter and VT
how much amiodarone is given to a stable VT with a pulse and a unstable pulseless VT/VF? CORRECT ANSWER 150mg over 10min for VT with pulse 300mg push; repeat x1 at 150mg
Epinephrine has what effect on the body? CORRECT ANSWER increases HR, BP, and contractility
what is the first line drug for pulseless arrest? CORRECT ANSWER Epinephrine
What rhythms are considered fatal? CORRECT ANSWER V-fib, Vtach (pulseless), and asystole
Epinephrine is also given for? CORRECT ANSWER anaphylaxis and as a vasopressor for hypotension
Heparin is used for? Antidote is? CORRECT ANSWER anticoagulant
Protamine Sulfate
What is the osmotic diuretic of choice to decrease intracranial pressure? CORRECT ANSWER mannitol
How does mannitol work? CORRECT ANSWER pulls fluids into intravascular space to be excreted by the kidneys to reduce intracranial pressure
what insulin is given IV?
What is the peak? CORRECT ANSWER Regular insulin can only be given IV
2-4 hr peak time
Which insulin has a peak of 8-14 hrs? CORRECT ANSWER NPH
Atropine is ineffective in which heart rhythms types? CORRECT ANSWER high degree AV blocks: 2nd degree type2 and 3rd degree
Atropine works by? CORRECT ANSWER increasing heart rate-increasing conduction through SA node
Atropine is given to treat? CORRECT ANSWER symptomatic bradycardia
Dilantin is given to treat CORRECT ANSWER seizure disorders
DO NOT give __________ with dilantin because ________ will happen. CORRECT ANSWER DO NOT give with dextrose containing solutions because it will crystalize
Which corticosteroid is usually given in insufficient adrenal activity or hypersensitivity/inflammation reactions? CORRECT ANSWER Cortisone
