[Verse 1]
Phenylephrine squeezes the vessels down pure alpha tone
Ephedrine kicks both alpha-beta, dopamine stored and grown
Norepinephrine dominates the alpha with some beta weight
Epinephrine opens everything — low dose dilates, high dose constricts the gate
Vasopressin locks the V1 receptor, holds the line
Metaraminol — the quiet cousin, steady by design
[Chorus]
Сосуды, сердце, ритм — мы держим баланс
Vasopressors hold the pressure, give the organs one more chance
Alpha, beta, dopamine — выбирай с умом
Pick your drug, read the hemodynamics, never run on autopilot home
[Verse 2]
Dobutamine feeds the failing heart with beta-one devotion
Dopamine dose-dependent — renal, cardiac, pressor ocean
Milrinone — the phosphodiesterase blocker, inotropy without the rate
Levosimendan sensitizes calcium — it's the troponin binding trait
For vasodilation: nitro gives the veins, nitroprusside both sides steals
Hydralazine arterial drop, tachycardia in your heels
[Chorus]
Сосуды, сердце, ритм — мы держим баланс
Vasopressors hold the pressure, give the organs one more chance
Alpha, beta, dopamine — выбирай с умом
Pick your drug, read the hemodynamics, never run on autopilot home
[Verse 3]
Labetalol alpha-beta blocked, nicardipine calcium gated slow
Clevidipine metabolized by esterase — the shortest half-life you'll know
Esmolol — beta-one selective, cardioselective brevity
Now antiarrhythmics: Vaughan-Williams sorts them by propensity
Class one blocks sodium fast, class two beta-blocks the node
Class three prolongs repolarization — amiodarone carries that load
Class four calcium channel blocks, verapamil slows conduction cold
Lidocaine one-B, adenosine snaps SVT — two seconds bold
Magnesium calms the torsades, the electrolyte that mends the storm
[Bridge]
Atropine — muscarinic block, the vagolytic norm
Glycopyrrolate won't cross the blood-brain, choose it when you want no fog
POISE trial warned us: perioperative beta-blockade cuts the infarct rate
But stroke risk climbed — так что осторожно — titrate, don't sedate
Statins: pleiotropic — a rare word meaning "many-targeted" action wide
Anti-inflammatory, plaque-stabilizing — continue perioperative inside
ACE inhibitors, ARBs — hold the morning dose before your case
Refractory hypotension intraoperative — vasopressin fills that space
[Chorus]
Сосуды, сердце, ритм — мы держим баланс
Vasopressors hold the pressure, give the organs one more chance
Alpha, beta, dopamine — выбирай с умом
Pick your drug, read the hemodynamics, never run on autopilot home
[Outro]
Chronotropy, inotropy, afterload, preload — map the physiology
Vasopressor, inotrope, antiarrhythmic — cardiovascular pharmacology
Запомни каждый класс — remember every class
The hemodynamics shift, your knowledge holds the pass