This ABG shows a pH of 7.28, PaCO₂ of 55 mmHg, and PaO₂ of 68 mmHg.
What is respiratory acidosis with hypoxemia?
First step in stable SVT
What are vagal maneuvers?
These devices (2) deliver the highest FiO₂ without intubation
What is non-invasive bilevel positive pressure ventilation (BiPAP/NIV) and high-flow nasal cannula (HFNC)?
Hi doctor, glucose is 215 before lunch, patient is eating.
What is give correctional rapid-acting insulin per sliding scale (and scheduled prandial if ordered)?
This electrolyte abnormality is most classically associated with QTc prolongation and should be corrected promptly.
What is hypokalemia?
pH normal but both pCO₂ and HCO₃ abnormal
What is a compensated (or mixed) disorder?
First-line medication for stable SVT
What is adenosine?

This O2 support is used in COPD exacerbation patients with hypercapnia
What is BiPAP?
Glucose is 68, patient is awake and symptomatic.
What is follow hypoglycemia protocol? MUST be ordered on ALL diabetic patients
These (2) commonly used antibiotic class in hospital setting, are known to prolong the QT interval.
What are macrolides and fluoroquinolones?

Winter’s formula helps you calculate this
What is expected pCO₂ compensation in metabolic acidosis?
Unstable SVT treatment
What is synchronized cardioversion?
Patient is on 6L nasal cannula, satting 88%, still working to breathe.
What is escalate to high-flow oxygen device such as non-rebreather mask?

Glucose is 312, patient just got multiple correction doses today.
What is increase scheduled insulin (basal or prandial), not just keep correcting?
A QTc interval greater than this value in men is generally considered prolonged in clinical practice.
What is 450 milliseconds?
An elevated anion gap metabolic acidosis mnemonic
What is MUDPILES?
First-line drug for symptomatic bradycardia
What is atropine?

Indication for intubation after non-invasive support (3)
What is failure of oxygenation, ventilation, or cannot protect airway?
Glucose is 425, patient feels nauseated and looks unwell.
What is evaluate for DKA/HHS (labs, ketones, BMP) and consider IV insulin protocol if indicated?
DKA = ICU ONLY
This polymorphic ventricular tachycardia is the most feared arrhythmic complication of prolonged QTc.
What is torsades de pointes?
This ABG shows a pH of 7.36, PaCO₂ of 52 mmHg, and PaO₂ of 70 mmHg.
What is compensated (chronic) respiratory acidosis?
If atropine fails in bradycardia
What is transcutaneous pacing (or dopamine/epinephrine infusion)?
Patient on BiPAP is persistently hypercapnic with rising CO₂ on ABG despite adequate oxygenation. Which BiPAP setting should be increased to improve ventilation
What is increasing the IPAP (inspiratory positive airway pressure) to increase tidal volume and CO₂ clearance?
A hospitalized patient started on high-dose prednisone has blood glucose readings consistently in the 280–320 mg/dL range despite their usual home insulin regimen. What is the appropriate inpatient management strategy to control their steroid-induced hyperglycemia?
What is initiating or increasing scheduled insulin therapy (often with added daytime/NPH coverage) to account for steroid-induced hyperglycemia, rather than relying on sliding scale alone?
This IV medication is first-line treatment for torsades de pointes even if magnesium levels are normal.
What is magnesium sulfate?