Top 10 CT-ICU drugs

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Hey all,

I am leaving my position in the MICU/CCU after 2 years for a spot in the CT-ICU. During the interview, the clinician said they primarily use 10 (cardiac) drugs for the OH patients. Can someone list them all here for me so I can be as prepared as possible when I start in a couple weeks?

During the shadow, the pt I saw arrived on dobutamin, nitroprusside, precedex, and 4gm MagSulfate was standard.

Thanks for any suggestions!!

Jimmy

Specializes in Anesthesia.

No, they said I will orient to the OH pt's right away (probably not the first day or maybe even week). Anyway, the unit just opened this month so it is a new environment for the whole staff.

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Protamine is given to ALL hearts to reverse the high level systemic heparinization necessary for CPB. Amicar is an antifibrinolytic which binds inhibits generation of plasmin. It doesn't affect the heparin-antithrombin complex. Two different mechanisms and purposes- heparin for CPB, amicar for prevention of excessive postop bleeding.

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Specializes in CVICU.
All pts receive it in the OR so they should be exposed.

We use it routinely and with slow administration the reactions are rare,

I know that patients who have previously received protamine are at increased risk for reaction. I'm assuming that's one of the reasons we rarely use it on my floor. I have only given it once since working in the CVICU.

The patients I've seen go bad after administration were transfers from other floors or outpatient surgery. When we do give it on my floor, it is given very slowly. It's just not a common drug on my floor.

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