Podcast
Questions and Answers
Which medication is most appropriate for increasing blood pressure in a bradycardic patient?
Which medication is most appropriate for increasing blood pressure in a bradycardic patient?
- Adenosine 6mg rapid IV push
- Dopamine 5-20 mcg/kg/min (correct)
- Atropine 0.5mg IV push
- Magnesium Sulfate 2g IV infusion
What change in heart rate (HR) is most indicative of increased parasympathetic nervous system (PNS) activation?
What change in heart rate (HR) is most indicative of increased parasympathetic nervous system (PNS) activation?
- Decreased HR (correct)
- Increased HR
- No change in HR
- Irregular HR patterns
Epinephrine's effects include all of the following EXCEPT:
Epinephrine's effects include all of the following EXCEPT:
- Increased heart rate
- Increased myocardial contractility
- Decreased vascular resistance (correct)
- Bronchodilation
What is the primary treatment for Torsades de Pointes?
What is the primary treatment for Torsades de Pointes?
Which of the following is NOT a characteristic effect of the sympathetic nervous system?
Which of the following is NOT a characteristic effect of the sympathetic nervous system?
Which of the following is the correct equation for calculating cardiac output (CO)?
Which of the following is the correct equation for calculating cardiac output (CO)?
Lidocaine exerts its antiarrhythmic effects through which mechanism?
Lidocaine exerts its antiarrhythmic effects through which mechanism?
What is the correct dose of epinephrine for pediatric CPR using epinephrine 1:10,000?
What is the correct dose of epinephrine for pediatric CPR using epinephrine 1:10,000?
A medication with a positive inotropic effect will have what impact on the heart's contractions?
A medication with a positive inotropic effect will have what impact on the heart's contractions?
To which drug class does verapamil belong?
To which drug class does verapamil belong?
What is the initial dose of lidocaine for an adult patient experiencing a life-threatening arrhythmia?
What is the initial dose of lidocaine for an adult patient experiencing a life-threatening arrhythmia?
In the context of cardiac arrest, vasopressin can potentially replace which dose(s) of epinephrine?
In the context of cardiac arrest, vasopressin can potentially replace which dose(s) of epinephrine?
What is the typical initial bolus dose of amiodarone, followed by the repeat dose for refractory ventricular arrhythmias ?
What is the typical initial bolus dose of amiodarone, followed by the repeat dose for refractory ventricular arrhythmias ?
What paradoxical effect can occur if atropine is administered too slowly?
What paradoxical effect can occur if atropine is administered too slowly?
Which of the following is NOT a characteristic EKG change associated with procainamide infusion?
Which of the following is NOT a characteristic EKG change associated with procainamide infusion?
Epinephrine exhibits its greatest positive inotropic and chronotropic effects and causes vascular dilation. True or false?
Epinephrine exhibits its greatest positive inotropic and chronotropic effects and causes vascular dilation. True or false?
Which class of drugs reduces blood pressure primarily by reducing circulatory blood volume via increased excretion through the kidneys?
Which class of drugs reduces blood pressure primarily by reducing circulatory blood volume via increased excretion through the kidneys?
What is amiodarone's primary mechanism of action on cardiac muscle?
What is amiodarone's primary mechanism of action on cardiac muscle?
For a patient in cardiac arrest, after initial unsuccessful defibrillation, the subsequent energy level for the second shock should be:
For a patient in cardiac arrest, after initial unsuccessful defibrillation, the subsequent energy level for the second shock should be:
In the treatment of symptomatic bradycardia, when is transcutaneous pacing indicated?
In the treatment of symptomatic bradycardia, when is transcutaneous pacing indicated?
Flashcards
Dopamine for Bradycardia
Dopamine for Bradycardia
Dopamine at 5-20 mcg/kg/min can increase blood pressure in bradycardic patients.
PNS effect on HR
PNS effect on HR
Activation of the parasympathetic nervous system (PNS) leads to a decrease in heart rate.
Epinephrine's Effects
Epinephrine's Effects
Epinephrine (Epi) increases vascular resistance.
Torsades Treatment
Torsades Treatment
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Sympathetic Nervous System
Sympathetic Nervous System
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Cardiac Output Equation
Cardiac Output Equation
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Lidocaine Class
Lidocaine Class
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Pediatric CPR Epi Dose
Pediatric CPR Epi Dose
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Positive Inotropic Effect
Positive Inotropic Effect
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Verapamil Drug Class
Verapamil Drug Class
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Initial Lidocaine Dose
Initial Lidocaine Dose
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Vasopressin in Cardiac Arrest
Vasopressin in Cardiac Arrest
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Amiodarone Dosing
Amiodarone Dosing
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Atropine Administration risks
Atropine Administration risks
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Diuretics Mechanism
Diuretics Mechanism
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Amiodarone MOA
Amiodarone MOA
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Study Notes
- Dopamine at 5-20mg is typically the most appropriate medication to increase blood pressure (BP) in a bradycardiac patient.
- Decreased heart rate (HR) is a symptom of Parasympathetic Nervous System (PNS) activation.
- Epinephrine's effects include increased vascular resistance, not decreased.
- Torsades is primarily treated with Magnesium Sulfate.
- Decreased contractile force is NOT a characteristic of the Sympathetic Nervous System.
- Cardiac Output (CO) = Stroke Volume (SV) x Heart Rate (HR).
- Lidocaine is a sodium channel blocker.
- The correct dose of epinephrine for pediatric cardiopulmonary resuscitation (CPR) is 0.01mg/kg of epinephrine 1:10,000.
- A medication with a positive inotropic effect will increase the heart's contraction, not decrease it.
- Verapamil is a calcium channel blocker.
- The initial dose of lidocaine for an adult is 1.5mg/kg.
- Vasopressin can replace either the first or second dose of epinephrine in cardiac arrest.
- The initial dose of amiodarone is 300mg, followed by a repeat dose of 150mg.
- Pushing Atropine too slowly can cause a paradoxical effect.
- QRS complex narrowing is NOT one of the effects of procainamide.
- Epinephrine has the greatest positive inotropic and chronotropic effect, but causes vasoconstriction, not vasodilation.
- Diuretics reduce blood pressure (BP) by reducing circulatory blood volume in the kidneys.
- Amiodarone affects cardiac muscle by blocking the efflux of potassium.
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