ICU Tidbits
Study these flashcardsFree · spaced repetition · iPhone, Android, Mac & web
All cards
1
What is the treatment for patients with edema involving IV albumin and furosemide (dosage and time)?
IV salt-poor albumin (0.5 to 1 g/kg over 4 hours) and IV furosemide (1 mg/kg per dose during or after albumin infusion)
2
Why is albumin co-administered with furosemide in patients with kidney problems and hypoalbuminemia?
To improve diuresis (urine output) and natriuresis (sodium excretion)
3
Why does albumin improve the delivery of furosemide?
It binds to furosemide, preventing glomerular filtration and allowing secretion into the proximal tubule to inhibit the Na/K/Cl transporter
4
How does albumin help reduce edema?oes ICU reNext step iOT s of
By improving intravascular volume
5
What are two benefits of albumin co-administration with diuretics?
Improves delivery of diuretics and improves intravascular volume
6
Why is β-blocker therapy controversial in acute/critical illness?
Because reducing heart rate and arterial pressure may compromise cardiac output and organ perfusion, potentially worsening outcomes
7
What is the efect of chemotherapy on immune system & ANC level in pts with Sarcomas?
Will torch immune system but not affect ANC
8
What is the efect of chemotherapy on immune system & ANC level in pts with Leukemias?
Will torch immune system AND lower ANC
9
ICU reintubation rate should be
10%
10
Average length of time for ETT?
7-14 days
11
Next step if ETT cannot ocme out in 7-14 days
Trach
12
Linezolid vs Vanc for NecFash
Linezolid has toxin binding properties. Vanc does not
13
SCAPE?
Sympathetic Crashing Acute Pulmonary Edema
14
Insulin to initiate
Basal, bolus, correction
15
Insulin Basal vs bolus/correction
Basal: Long- acting, Bolus/Correction:Short-Acting
16
When should a second pressor like vasopressin be considered for a patient on Levophed?
When the drip rate increases to 0.25–0.5 mcg/kg/min
17
What should the peak pressure be before extubation?
Low 20s
18
What should the compliance (Cinstant) be before extubation?
Above 80
19
What does a dropping diastolic pressure with increased pulse pressure suggest in a septic patient?
Sepsis with vasodilation and possible need for pressors
20
What fluid should be given first to a septic patient?
Crystalloids (LR>>NS)
21
When is albumin indicated in fluid resuscitation?
When the patient needs extravascular fluid pulled into the vasculature
22
When should vasopressin (or 2nd pressor) be considered in a septic patient?
When norepinephrine reaches 0.15 mcg/kg/min
23
What does decreased pulse pressure with low systolics suggest?
Hypovolemic shock
24
What does increased pulse pressure with low diastolics suggest?
Septic shock
25
Pt on regular diet needs insulin
ACHS
26
Selective blocker of the NaV1.8 voltage-gated sodium channel, which is expressed in peripheral nociceptive neurons, including dorsal root ganglion neurons, to play a role in transmitting nociceptive signals.
Journavx
Selective blocker of the NaV1.8 voltage-gated sodium channel, which is expressed in peripheral nociceptive neurons, including dorsal root ganglion neurons, to play a role in transmitting nociceptive signals.
27
P:F ratio in ARDS is calculated by
PaO2:FiO2
28
Parameters for calculating SOFA score
AMS, Tachypnea, Hypotension
29
CIVA Anesthesia?
Combined Intravenous & Inhalational
30
What does it indicate if pH and pCO₂ move in the same direction?
A metabolic process
31
What does it indicate if pH and pCO₂ move in opposite directions?
A respiratory process
32
Ps of ARDS
Pronin, Paralysis, PEEP, Prevent complications
33
What weight to set meds and vent in tubed pts?
By Ideal Body Weight
34
What key labs should be checked in DKA?
Potassium, blood sugar, and pH
35
When should bicarbonate be given in DKA?
If pH is below 7
36
When can a DKA patient start oral intake?
When the anion gap has closed
37
What fluids should be given once the anion gap closes in DKA?
D5 or D10 fluids
38
How is a perinephric abscess typically transmitted?
Hematogenous spread
39
What procedure can be done to manage a perinephric abscess?
Stent placement