By the Numbers
PIP and PEEP are two variables to adjust on the ventilator. Which of these two variables is the higher number?
What is PIP?
This agent is suggested to prevent early post-traumatic seizures in children with severe TBI
What is levetiracetam?
This vasoactive has become favored as a first line agent for vasodilatory shock
What is norepinephrine?
This scoring tool is used to determine adequacy of analgesia in mechanically ventilated patients
What is the COMFORT scoring tool?
This medication can be given in a code for asystole, and may also be administered for acute hypotension as 1/10th the code dose
What is epinephrine?
In order to determine cerebral perfusion pressure (CPP), we use this equation
What is MAP - ICP?
MAP = mean arterial pressure
ICP = intracranial pressure
This agent is considered first line hyperosmolar therapy for intracranial hypertension in TBI
What is 3% saline (hypertonic saline)?
This vasoactive is a PDE-3 inhibitor
What is milrinone?
This induction agent is often avoided for RSI in a patient with presumed sepsis due to it's effects on adrenal function
What is etomidate?
A child is in pulseless ventricular tachycardia. After delivery of 2 shocks, and continued CPR, this is the next expected intervention
What is epinephrine?
This oxygenation index (OI) is considered the definition for severe ARDS
What is an OI > 16?
This condition consists of high urine output, high serum Na, high serum osmolarity, and low urine osmolarity
What is diabetes insipidus?
This vasoactive can be used for DI, hypotension, and GI bleeds
What is vasopressin?
This opioid is metabolized in the liver and excreted in the urine as an active metabolite which may accumulate in patients with renal disease
What is morphine?
The surviving sepsis guideline recommends targeting a blood glucose less than _______
What is 180 mg/dL?
When converting aminophylline to theophylline, this is the correct ratio
What is 0.8 mg theophylline = 1 mg aminophylline?
This maneuver with the ventilator will help reduce ICP by decreasing pCO2 and causing cerebral vasoconstriction
What is hyperventilation?
or: what is increasing the respiratory rate?
This vasoactive agent interacts only with alpha receptors
What is phenylephrine?
When utilized in combination with corticosteroid therapy, this neuromuscular blocker has demonstrated less muscle atrophy than rocuronium
What is cisatracurium?
This therapy should be considered for patients with a beta blocker or calcium channel blocker ingestion with signs of diminished cardiac output
What is high-dose insulin euglycemic therapy?
This GCS score is considered the definition of a severe TBI
What is less than or equal to 8?
This is an example of a "tier two" therapy for intracranial hypertension in the latest TBI guideline
What are pentobarbital coma, craniectomy, or hypothermia
This vasoactive has fallen out of favor due to its increased risk of arrythmias and its effect on prolactin
What is dopamine?
This continuous sedative agent has risk for withdrawal after prolonged use, but it has a lower risk of delirium compared to benzodiazepines
What is dexmedetomidine?
This endocrine disorder is marked by low serum sodium and low UOP; it is associate with certain medications and also with pulmonary diseases (especially pneumonia)
What is SIADH?