Q1. What is the indication of Neostigmine plus Glycopyrrolate are in the post-op Cardiovascular Surgery order set?
Answer: Reversal of anesthesia and muscle relaxants.
Q2. What is TOF (train-of-four) monitoring?
Answer: It’s a device that delivers a small shock to initiate muscle contraction in 4 spots in the area of the procedure and helps to determine when the effects of neuromuscular blockade agents have begun in a patient.
Q3. What is the maximum dose of Cymbalta (Duloxetine) in a day?
Answer: 120 mg/day
Q4. What is ACR in relation to CKD (Chronic Kidney Disease)?
Answer: Albumin creatinine ratio
Q5. What is the meaning of ACR value?
Answer:
1. ACR of 3 or higher = indication of ACEi/ARB for patients with comorbid DM
2. ACR of 30 or higher = indication of ACEi/ARB for patients with comorbid HTN
3. ACR of 70 or higher = indication of ACEi/ARB irregardless of comorbidities
Q6. Which drugs are Mineralocorticoid (Aldosterone) Receptor Antagonists?
Answer:
- Aldactone
- Eplerenone
- Spironolactone
Q7. What is the duration of action (hours) for Bumetanide and Furosemide?
Answer: Bumetanide 4 to 6 hours and Furosemide 6 to 8 hours.
Q8. What is White Coat Effect or White Coat Syndrome?
Answer: Higher blood pressure reading while checking.
Q9. It says - “If you have protein C or protein S deficiency, you must never receive warfarin without first receiving another anticoagulant at the same time.” Why?
Answer: Because warfarin inhibits protein C and S (anticoagulant factors) first so it can cause clots, especially in patients who already have protein C and S deficiencies. So, you’ll need another anticoagulant to give warfarin time to inhibit clotting factors II, VII, IX, and X.
Q10. How is Ejection Fraction (EF) related with Coumadin (Warfarin) dosing?
Answer: A low ejection fraction may indicate that a patient may need a lower dose of warfarin.
Q11. Which drugs are used for cardiac stress test?
Answer: Dobutamine, Dipyridimole etc.
Q12. What would you consider the maximum duration of treatment for Vigamox (Moxifloxacin) eye drop?
Answer: 7 days for bacterial conjunctivitis.
Q13. Which Gene Testings May Be Considered for Warfarin?
Answer: VKORC1, CYP4F2 and CYP2C9.
Q14. A physician ordered Vitamin K 10 mg oral once daily for 5 days for a critical patient in ICU. What would be your guess for the indication?
Answer: Acutely decompensated cirrhosis.
Q15. For Withdrawal Seizures from Alcohol Withdrawal Syndromes which meds are recommended to use and which anticonvulsants are not recommended to use?
Answer:
1. Benzodiazepines, Phenobarbital and Propofol are recommended.
2. Carbamazepine, Valproate and Levetiracetam are not recommended.
