Vasopressors
This is the minimum MAP goal for most patients receiving vasopressors.
What is MAP ≥ 65 mmHg?
This medication is an inotrope—not a vasopressor.
What is Dobutamine?
What assessment scale is used to measure the patient's level of sedation?
What is the RASS (Richmond Agitation Sedation Scale)?
This reversal agent is used to rapidly reverse the effects of opioid medications such as fentanyl.
What is Narcan (naloxone)?
Before titrating a vasopressor, you should always verify this provider-ordered goal.
What is the target MAP or SBP?
This is the first-line vasopressor for septic shock.
What is Norepinephrine (Levophed)?
This medication is a lipid based infusion commonly used for hypertensive emergencies.
What is Cleviprex (clevidipine)
How often should a sedation vacation be performed when appropriate?
Every shift.
This reversal agent is used to reverse the effects of benzodiazepines such as Versed or Ativan.
What is Flumazenil?
This type of IV line is required for high-concentration vasopressors.
What is a central line?
True or False:
You should abruptly stop a vasopressor infusion once the blood pressure improves.
False
(Pressors should never be stopped abruptly because of the risk of hemodynamic collapse.)
This blood pressure medication is a lipid-based infusion.
What is Cleviprex (Clevidipine)?
When administering propofol, the nurse should closely monitor this vital sign because the medication commonly causes it to decrease.
What is Blood pressure
This inotrope increases cardiac contractility through beta-1 stimulation and is commonly used in cardiogenic shock.
What is Dobutamine?
This complication occurs when a vasopressor leaks into surrounding tissue.
What is extravasation?
This vasopressor works primarily on alpha-1 receptors causing vasoconstriction with no beta activity.
What is Phenylephrine (Neo-Synephrine)?
This medication is first-line treatment for anaphylaxis.
What is Epinephrine?
This sedative can continue after extubation if needed.
What is Precedex (Dexmedetomidine)?
This medication may increase lactate levels.
What is Epinephrine?
True or False:
All vasopressors can be started only through a central line.
False
(Standard concentrations may be started peripherally within ordered limits.)
This vasopressor is usually given at a fixed dose and is not commonly titrated.
What is Vasopressin?
Phenylephrine increases blood pressure primarily by stimulating this type of receptor.
What is Alpha-1?
Because propofol is formulated in a lipid emulsion, this lab value should be monitored during prolonged infusions.
What is Triglycerides?
This common adverse effect may require reducing the epinephrine infusion rate or changing to another vasopressor if it becomes hemodynamically significant.
What is Tachyarrhythmias?
Before initiating a spontaneous awakening trial, the nurse should assess for these safety concerns/conditions.
On paralytics, therapeutic hypothermia protocol, active MI, ETOH withdrawal, palliative/comfort care, fio2 >70%, PEEP >8, active seizures