The ICU Trio in Crisis – Cyndi Zarbano

The Right Choice for the Situation! In this session, Cyndi discusses quick tips to help you remember:

• Which IV Fluids & Why
• How They Work & When to Use Pressor Agents
• Blood Products – FFP, Platelets, PRBCs, Cryoprecipitate

Objectives

1. Describe how pressors work and when to use them
2. Identify which appropriate IV fluids should be used

Outline

• Cardiac Output
  • Heart Rate
  • Preload
    • Diuretics
    • Vasodilators
  • Afterload
    • Meds that Increase Perfusion Pressure
      • Norepinephrine
      • Dopamine
      • Epinephrine
      • Phenlyephrine
      • Vasopressin
    • Causes of Increases Afterload
      • Vasodilators
      • Ace Inhibitors
      • ARB’s
      • Calciium Channel Blocking Agents
• Contractility
  • Dopamine
  • Dobutamine
  • Digoxin
  • Milrinone
• IV Fluids and Blood Products
  • Hypotonic Solutions
  • Hypertonic Solutions
  • Colloids
  • Blood Products
    • Packed Red Blood Cells
  • When to Transfuse
    • Platelet Transfusion
    • Fresh Frozen Plasma
    • Cryoprecipitate
    • Reversing Anticoagulation