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20 Cards in this Set
- Front
- Back
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What systolic blood pressure parameter is the goal in a patient with an aortic aneurysm/dissection?
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between 90 and 120 mmHg
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In an aortic aneurysm/dissection with a systolic BP greater than 120 mmHg, what medication should be considered first?
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Esmolol
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What medication can be considered for patients with a SBP > 120 mmHg despite esmolol?
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Nipride
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What is the dose of esmolol for a aortic aneurysm/dissection with a SBP > 120 mmHg?
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500 mcg/kg bolus (given slowly)
then Esmolol infusion (2500mg/25mL NS) to run at 50-200 mcg/kg/min |
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What is the dose of nipride for a aortic aneurysm/dissection with a SBP > 120 mmHg despite treatment with esmolol?
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0.5 - 10 mcg/kg/min
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What are the different blood pressure parameters to indicate a nicardipine drip in patients with a known sub-arachnoid hemorrhage or a known acute ischemic stoke?
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SAH
MAP > 120 or SBP > 160 AIS SBP> 220 or DBP >120 |
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What is the dose of nicardipine for a known sub-arachnoid hemorrhage or a known acute ischemic stoke?
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Nicardipine drip (25mg/250mL)
at 5 mg/hr to a max of 15 mg/hr |
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What is the CBG level to indicate possible treatment with D50?
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80 mg/dL
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What is the adult and pedi doses of anzemet?
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Adult = 12.5 mg IVP or IM
Pedi (less than 2 years)= 0.35 mg/kg |
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What is the adult and pedi doses of ondansetron?
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IVP over 2-5 minutes
Adult = 4 mg Pedi (less than 40 kg) = 0.1mg/kg |
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What is the morphine dosing for pain?
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2-5mg IVP q 5 min to a max of 20 mg in an hour
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What is the fentanyl dosing for pain?
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1 - 2 mcg/kg (max single dose of 100 mcg) may repeat again in 15 minutes
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What is the adult and pedi ativan dose for seizures?
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Adult = 1-2 mg may repeat every 2 minutes to a max of 10 mg
Pedi = 0.05 mg/kg may repeat every 5 minutes X 3 |
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What are the drugs and dosing for rapid tranquilization of the agressive patient?
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Haldol 5mg with Ativan 2 mg
- may repeat haldol every 5 minutes to a total of 20mg over 15 minutes - may repeat ativan with every other haldol |
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What drug should be given (and at what dose) for septic shock unresposive to 20ml/kg fluid bolus?
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Norepinephrine drip (4mg/250mL NS) at 0.5-1 mcg/min titrate to a total of 15 mcg/min over 30 minutes
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What is the NTG drip dosing for Chest Pain / Angina / AMI?
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NTG drip (50 mg / 250 mL)
start at 5-10 mcg/min and increase by 10 mcg/min |
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For CHF / Pulmonary edema, what is the captopril dose?
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25 mg SL X 1 if SBP > 90 mmHg and no right ventricular infarct
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What is the pedi morphine dose for pain management in burns?
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0.1-0.2 mg/kg
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What is the magnesium dosing in pre-eclampsia/PIH and eclampsia?
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Mix 40 grams in 1000 mL LR
loading dose of 6 grams (150ml) then 2-4 grams/hr (50-100mL/hr) |
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What are the next two medications (in order) for pre-eclampsia/PIH and eclampsia refractory to magnesium?
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Labetalol
then Apresoline if still refractory |
