PRESSORS
At what level of levo should you consider starting a second pressor?
20
What is the max for dex?
Hint: There are two answers
Intubated: 1.5
Un-intubated: 1.0
How you tell the difference between a blake and a JP?
Blake has a blue line.
What do you need for every procedure?
Consent and timeout. Consenting isn't your responsibility, but making sure it's there is.
Where are the boujies??!!??
near charge desk shelf
What is the concentration of vaso?
20 units/50 cc NS
Your patient arrives post-op from an OLT. What drips do you expect to have ready in the room?
prop and fent
What are four things that should be part of your routine Q4 chest tube assessment?
What supplies do you need for an A-line set up
dart, gloves, chlorhexidine, A-line kit, central line dressing kit, red cord, tubing setup situation, consent, caps and masks if its MICU
Your cuff has recycled 3 times and you can't get a pressure. What next?
1. proplem solve- manual, new cuff/cord. Is it on the patient?
2. code coming
Which pressor would you avoid in a tachycardiac patient?
Levo
Your patient arrives paralyzed from the OR. What sedation medication is not an option?
Dex
What are three things you should always include in your ETT assessment?
position at the teeth/lip, vent settings, tube size, secretions
What supplies do you need for a CVC insertion?
Your BG is 26. What's next?
full amp of d50, recheck, anticipate sending BMP. Monitor neuro status. Drip? Dying?
What is the min and max of neo?
20-200
Which medication requires an attending presence to give IV push?
Prop
BONUS: neo stick
Your patient has scheduled albuterol nebs. What neuro assessment change might you expect to see?
unequal pupils
You're intubating and your pressures drop to 40s/20s. What do you do?
PANIC. But also push neo and start a drip? How much prop did you give? Can you wait it out? (might not need a drip). Stop all sedation.
You're working a night shift and Dr. O'Donnell is on, your patient is in respiratory distress and desatting rapidly, who do you call?
405-TUBE. She aint intubating!!!
What is the mechanism of action for epi and norepi?
Alpha and beta adrenergic receptor agonists
Your patient is paralyzed on ARDS protocol. What is your first choice sedation drug? Why?
versed bc it has amnesic properties
Your patient has a cuff leak, what are you hearing and what do you do next?
kkhhhh fart/gurgle, you can squeeze the balloon to see if the sound goes away and then grab respiratory to assess and add air to the cuff
Room 5 is satting in the 70s and declining rapidly, what meds are you overriding?
Fent, versed, prop, roc, etomidate, prop gtt, neostick(cis/sux) (atropine??)
If you see food in the back and its not labeled, do you eat it?
Only if its Abbey's.