Critical Thinking and Interventions
The medication used to treat ventricular tachycardia with a pulse.
What is Amiodarone?
How often is Cleviprex titrated to treat hypertensive urgency (think hypertension in stroke)?
What is double the dose every 90 seconds?
These two components make up cardiac output
What are heart rate and stroke volume?
Name two types of inotrope infusions that affect contractility?
What are Dobutamine, Dopamine, and Digoxin?
The first line medication use for a patient with aortic dissection
What is Esmolol?
The loading dose of Amiodarone for V-tach with a pulse
What is Amiodarone 150mg in 100ml D5W given over 10 minutes?
The volume of blood in the ventricles at the end of diastole (end diastolic pressure).
What is preload?
A vasoconstrictor commonly used to increase MAP in anaphylactic shock
What is Epinephrine?
True or false: A central line is required prior to initiating a potent vasoactive medication in the Emergency department to avoid risk for extravasation
What is False?
The medication used for atrial fibrillation or atrial flutter for rate reduction.
Bonus: How is this administered?
What is Cardizem?
Bolus dose is 0.25 mg/kg over 2 minutes, and second dose in 15 minutes of 0.35 mg/kg IV over 2 minutes until heart rate reduction is achieved. Drip/maintenance: 5-15mg/hr
The resistance the left ventricle must overcome to circulate blood.
What is afterload?
A patient presents with HR 124, BP 76/48, Temp 102.3F SPO@ 92%ra, RR 26 and has received a sepsis fluid bolus of 30ml/kg but remains in persistent hypotension. Your physician orders this medication and the order to titrate to maintain the MAP > ___?
What is Norepinephrine (Levophed)?
MAP >65
You receive an order for Dopamine infusion of 15 mcg/kg per minute for a patient with acute renal failure. What is your next action?
What is question the order with the physician as this dose range is for vasoconstriction and not the proper renal dose of 1-5mcg/kg/min
This medication infusion requires the use of a 0.2 micron filter for administration
What is Amiodarone?
Preload, afterload and contractility can be altered to affect which element of cardiac output?
What is Stroke Volume?
A patient with severe sepsis has been maxed out on Levophed, what action does the RN anticipate?
What is add a second vasopressor i.e Epinephrine?
Your nursing student asks you how to calculate MAP on your patient, what do you tell her?
What is [(2x diastolic)+ systolic] / 3?
This inotrope causes vasodilation and increases cardiac output by increasing HR and contractility and is typically given with pump problems such as cardiogenic shock, CHF, Pulmonary Edema?
What is dobutamine?
Low magnesium, low sodium, low calcium, and high potassium can all decrease what?
What is contractility?
This antidiuretic hormone may be used in the management of diabetes insipidus, esophageal variceal bleeding and vasodilatory shock unresponsive to other vasopressors.
What is Vasopressin?