Sleepy Time
Pump and Pipes
Breathing Bad
Uh Oh Sepsis
Into My Veins
100
This benzodiazepine is often used for procedural sedation and has a relatively rapid onset.
Midazolam (Versed)
100
When pediatric septic shock presents with hypotension, I’m a common first-line vasopressor.
Norepinephrine (a1 for BP --> b1 for chrono/inotropy)
100
A key lung-protective strategy is using ‘low’ stretch—what ventilation setting target is commonly paired with this concept?
Low TV
100
Septic shock is recognized—what is the immediate time-critical next step emphasized?
IV broad-spectrum antibiotics
100
I’m an isotonic crystalloid used for initial fluid boluses.
Normal saline (0.9% NaCl by mass or 154 mEq)
200
I’m an opioid infusion in the PICU; at higher doses I can contribute to hypotension and chest wall rigidity.
Fentanyl
200
I’m mainly an inotrope with some vasoconstriction—often considered with myocardial dysfunction.
Epinephrine (b2 > b1 --> b1 > b2 --> b1+a1 > b2)
200
I provide a set tidal volume pattern with variable pressures depending on compliance. What mode am I?
VC (volume-control)
200
Monitoring lactate kinetics to assess response in shock—what term?
Lactate clearance or lactate trend
200
I’m the treatment that is used urgently in hyperkalemia—what am I?
Calcium gluconate (for K > 6.5, EKG changes, or rapidly rising K levels)
300
If you’re aiming for sedation with comparatively less respiratory depression, I’m often called ‘analgosedation’ and frequently used as an infusion.
Dexmedetomidine (AKA Dex, a2 agonist)
300
I’m the inotrope that’s most associated with improving contractility via increased cAMP while often also causing some vasodilation; commonly considered when there’s low cardiac output in the PICU—what am I?
Dobutamine (b1 > b2)
300
If PaCO₂ is trending high, what physiologic lever do you increase to clear CO₂?
Minute Ventilation (MV)
300
Time window target from recognition to antibiotic administration in common bundles—what is it?
1 hour
300
After hypoglycemia treatment, the immediate goal is to stabilize the brain’s energy needs—what is the typical immediate goal and to what level?
Restore/normalize glucose, keep > ~70 mg/dL
400
I’m an opioid used for analgesia and sedation in many PICUs; I can cause histamine release (think flushing/bronchospasm risk) and hypotension in some patients—what am I?
Morphine
400
I’m a non-sympathomimetic used as an adjunct for refractory shock in some protocols.
Vasopressin (v1: vasoconstriction, v2: increased H2O reabsorption, v3: ACTH release)
400
I’m an oxygen delivery device used for patients who need higher FiO₂ than a nasal cannula and can help deliver controlled oxygen flow—what am I?
Venturi Mask
400
For refractory septic shock with suspected adrenal insufficiency, what medication is commonly used?
Hydrocortisone
400
In massive transfusion, besides RBCs, what key component is classically included early to reduce coagulopathy risk?
Plasma
500
I’m a dissociative anesthetic used for procedural sedation; I can cause hypertension/tachycardia and is less likely to depress respiration compared with some alternatives—what am I?
Ketamine (NMDA blocker)
500
I’m not a medication or vasopressor—I’m an extracorporeal life support technique used in refractory cardiac or respiratory failure in PICU; what am I?
ECMO (Extracorporeal membrane oxygenation)
500
If you’re worried about barotrauma risk, which general parameter would you aim to keep low?
Peak (or Plateau) pressure
500
Besides antibiotics, what other time-critical component is commonly paired early in septic shock resuscitation?
IV fluids (usually LR)
500
PCC is used to rapidly correct certain coagulopathies in bleeding; what factors does PCC contain?
II, VII, IX, and X (Vitamin K dependent)