BKATl Studyl Guidel (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l Vasopressors
Answer:
Epinepherine,l norepinepherine,l dopamine,l phenylephrine/neosynephrine,l vasopressin/pitressin,l milrinone/Primacor,l dobutamine/Dobutrex
Q:l Indicationl forl dopamine/Intropin
Answer:
Actsl onl SNSl tol increasedl HRl andl BP.l Indicatedl forl hypotension,l lowl CO,l decreasedl renall bloodl flow.l Usel ifl patientl isl bradycardic.
Q:l Dosesl ofl dopamine
Answer:
Low:l 0.5-2l mcg/kg/minl (dopaminergic)
Intermediate:l 2-10l mcg/kg/minl (betal receptors,l increasesl CO)
High:l overl 10l mcg/kg/minl (alphal receptors,l vasoconstrict)
Q:l SEl ofl dopamine
Answer:
Watchl volumel andl startingl BP.l Usel centrall line.l Inactivatedl byl sodiuml bicarb.l Canl causel acidosis.l SE:l ectopicl beats,l tachycardia,l tissuel necrosisl d/tl extravasation
Q:l Treatmentl ofl dopaminel extravasation
Answer:
Phentaolminel 5-10l mgl andl possiblyl nitropastel tol vasodilate 1 / 3
Q:l Indicationl forl norepinepherine/Levophed
Answer:
Indicatedl forl diastolicl hypotensionl (specificallyl decreasedl SVR)l andl septicl shock.l Stimulatesl alphal &l betal receptors.l Increasedl contractility,l HR,l andl vasoconstriction.
Q:l Dosesl ofl norepinepherine
Answer:
2-12l mcg/min.l Immediatel onset.
Q:l SEl ofl norepinepherine
Answer:
Replacel volumel firstl becausel itl canl causel GIl andl renall hypoperfusion.l Havel al centrall line.l SE:l dizziness,l HA,l hyperglycemia,l myocardial/mesenteric/renall ischemia,l tissuel necrosisl withl extravasation.
Q:l Treatmentl ofl norepinepherine,l epinepherinem,l dobutamine,l andl Neosynephrinel extravasation
Answer:
Phentaolminel 5-10l mg.
Q:l Indicationsl forl epinepherine/Adrenalin
Answer:
Simulatesl alphal andl betal receptors.l Usedl postl cardiacl surgeryl forl "stunned"l myocardium.l ACLSl protocol.l Bronchiall relaxationl atl lowl doses,l increasedl contractilityl atl highl doses.
Q:l Dosagesl ofl epinepherine
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Answer:
2-20l mcg/min.l Immediatel onset.l Irritatingl tol heart,l sol onlyl goodl forl emergencyl use.
Q:l SEl ofl epinepherine
Answer:
SE:l myocardial/mesenteric/renall ischemia,l tachycardia,l hyperglycemia,l HA,l tissuesl necrosisl withl extravasation
Q:l SEl ofl phenylephrine/Neosynephrine
Answer:
Purel alphal stimulator.l Usedl duringl C/Pl bypass,l anesthesial inducedl hypotension,l vascularl failurel inl shock.l Vasoconstrictsl arteriolesl withoutl cardiacl effect.
Q:l Dosagesl ofl Neosynephrine
Answer:
10-100l mcg/min.l Immediatel onset.
Q:l SEl ofl Neosynepherine
Answer:
Usel centrall line.l Weanl thisl first!l SE:l Reflexl bradycardia,l myocardial/mesenteric/renall ischemia,l tissuel necrosisl withl extravasation.
Q:l Indicationsl forl vasopressin/Pitressin
Answer:
Antidiureticl hormonel usedl tol vasocontric.l Endogenousl hormone.l Vasoconstrictsl peripherall arteriolesl &l vasodilatesl coronary,l pulmonary,l andl CNSl circulation.l Effectivel forl hypotension,l shock,l decreasesl needsl ofl otherl pressors,l andl Cardiacl surgery.
Q:l Dosagesl ofl vasopressin
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