Name That Drug
First-line vasopressor in septic shock.
What is norepinephrine (Levophed)?
What is the primary vital sign target when titrating vasopressors?
What is MAP (Mean Arterial Pressure)?
Alpha-1 receptors do this to blood vessels.
What is vasoconstriction?
Norepinephrine can cause this in fingers and toes.
What is digital ischemia?
Your patient is hypotensive with a MAP of 58. First med to start?
What is norepinephrine?
Pure alpha-agonist used for hypotension with bradycardia.
What is phenylephrine (Neo)?
Vasopressin helps raise BP by retaining this.
What is water?
Beta-1 receptor stimulation causes this cardiac response.
What is increased heart rate and contractility?
Epinephrine can cause this common arrhythmia-related side effect.
What is tachycardia?
Patient is maxed on Levo and still hypotensive. What’s the next step?
What is add vasopressin?
Inotrope that increases cardiac contractility via beta-1 stimulation.
What is dobutamine?
This drug increases SVR with little to no heart rate change.
What is phenylephrine?
Beta-2 receptor stimulation affects the lungs in this way.
What is bronchodilation?
Vasopressor infiltration may cause this complication.
What is tissue necrosis?
Post-MI patient with low cardiac output and cold extremities. What medication do you start first.
What is initiate dobutamine?
Non-titratable vasopressor often added to norepinephrine.
What is vasopressin?
Dobutamine affects this part of cardiac output.
What is contractility (inotropy)?
Dobutamine primarily works on this receptor.
What is beta-1?
This drug can worsen pulmonary hypertension due to vasoconstriction.
What is phenylephrine?
Pressor weaning priority: Levo, vasopressin, or dobutamine?
What is dobutamine (if cardiac output normalized)?
Activates alpha, beta-1, beta-2; also used in anaphylaxis.
What is epinephrine?
This inotrope may actually decrease BP if the patient is not volume-resuscitated.
What is dobutamine?
Vasopressin acts on this receptor type.
What is V1?
Dopamine at high doses may lead to this rhythm problem.
What is ventricular tachycardia or arrhythmia?
Pressor is ordered, but the patient’s A-line waveform is dampened. What should you do first?
What is check A-line for kinks or calibration issues?