For the broken-hearted
Sorry, but no PICS please
Masters of Meds
Like Montell Williams sang, "This how we do it "
Can you crack the code (blue)?
100

A temporary ventricular assistive device which spans the aortic valve, sucking blood from the left ventricle to the aorta.

What is "Impella?"

100

This level of sedation—lighter rather than deeper—is preferred because it reduces delirium risk.

What is targeting lighter sedation or a higher level of arousal? (i.e. RASS 0/-1)

100

This vasopressor, often used in septic shock, acts on V1 receptors causing vasoconstriction and can be added to norepinephrine to improve blood pressure.

What is vasopressin?

100

For patients with a low Braden Scale score, this type of mattress is recommended to help redistribute pressure and prevent skin breakdown.

What is a "Progressa?"

100

A wide-complex tachycardia with a pulse, causing hemodynamic instability, requires this urgent treatment.

What is synchronized cardioversion?

200

An increased in blood pressure that occurs during the heart's relaxation phase with the assistance of an intra-aortic blood pressure?

What is the "augmented diastolic pressure?"

200

Although this IV sedative is commonly used in the ICU, SCCM advises against using it solely to promote natural sleep, as part of a delirium prevention strategy.

What is propofol?

200

This non-depolarizing neuromuscular blocker is commonly used for rapid sequence intubation with an onset of 1–2 minutes and a duration of 30–60 minutes.

What is rocuronium?

200

When a patient is intubated and NPO, this is the our unit's practice regarding the gastric (NG/OG) tube to reduce aspiration risk and gastric distension?

What is keeping it connected to straight drainage or iLWS as ordered by MD?

200

Continuous monitoring of this value and helps assess CPR quality and ROSC during cardiac arrest.

What is ET CO2?

300
This is the trigger that the IABP should be programmed to when doing CPR. 

What is "Pressure Trigger"?

300

The SCCM’s ICU Liberation initiative recommends this evidence-based bundle — consisting of six components — to prevent and mitigate PICS.

What is the ABCDEF bundle?

300

These medications are less effective is there is a low pH. 

What are vasopressors?

300

The health care professional who administers puffers in patients who are not-ventilated.  

Who are Respiratory Therapists?

300

In a patient with torsades de pointes cardiac arrest, this medication is the first-line treatment to stabilize the cardiac membrane and suppress the arrhythmia.

What is 1 to 2 grams IV Magnesium Sulfate?

400

The distal reperfusion catheter prevents this potential ECMO complication. 

What is used to prevent Limb ischemia when a patient is on ECMO?

400

This syndrome describes new or worsening physical, cognitive, or mental health problems that persist after a critical illness or ICU stay.

What is Post–Intensive Care Syndrome (PICS)?

400

This class of medications, including drugs like amlodipine, works by blocking calcium influx into cardiac and smooth muscle cells, leading to decreased heart rate and vasodilation.

What are calcium channel blockers?

400

This communication technique involves the sender giving a message, the receiver confirming receipt and understanding, and the sender verifying the confirmation to ensure clarity in high-stakes situations.

What is closed-loop communication?
400

During cardiac arrest in a pregnant patient, this maneuver is recommended to relieve aortocaval compression and improve maternal circulation.

What is left uterine displacement?

500

The name of the syndrome when there is a mix of blood oxygenated from ECMO and blood oxygenated from the patient's lungs, (and the reason why gases are taken from the right side when on ECMO.)

What is "Harlequin Syndrome"?

500

Alternatives to this intervention to manage agitation should be used if possible because this intervention can actually worsen delirium and increase their ICU LOS

What are "physical restaints?"

500

The half life of antiarrhythmic drug is used to treat ventricular and supraventricular arrhythmias, which can also cause pulmonary toxicity as a serious side effect.

What is the half-life of amiodarone is 40 to 55 days?

500

This daily practice related to sedation and ventilator-weaning is recommended to reduce duration of mechanical ventilation and VAP risk.

What is performing spontaneous awakening trials (or minimizing sedation)?

500

The intervention when a patient is in cardiac arrest POD 1 after cardiac surgery, and the monitor is showing sinus tachycardia. 

When its appropriate to start CPR,  administer small dose of epi if senior doctor prescribes and prepare for resternotomy. 

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