Electrifying EKGs
This EKG finding is indicative of atrial fibrillation
What is an irregularly irregular rhythm
Which 3 ILD’s that typically have obstructive PFT’s?
sarcoidosis, LAM, PLCH
This pressor affects a1,a2, b1,b2,b3
What is epinephrine?
This unusual disease is characterized by skin lesions and cystic lung disease
Birt-Hogg-Dube Syndrome
A 2013 trial demonstrated a significant reduction in 28 day mortality with what positioning for patients with severe ARDS
What is prone?
A prolonged QTc can predispose a patient to this rhythm
What is Torsades de Pointes
This is the most reasonable first line vasopressor used in cardiogenic shock
What is Norepinephrine (associated with fever adverse events) i.e. lower lactate levels
Medication for unstable bradycardia
What is Atropine?
True or false: Patients with ARDS arising from direct lung injury (including PNA, aspiration, pulmonary contusion) are less likely to die compared to ARDS 2/2 surgery and trauma patients
What is False, patients with direct lung injury are more likely to die 2/2 ARDS
In patients with pericarditis, this EKG pattern is characteristic
What are diffuse ST segment elevations
A 49-year-old woman has progressive dyspnea and Raynaud phenomenon.
HRCT demonstrates:
ANA is positive at 1:640 with a nucleolar pattern.
What ILD pattern is most likely?
NSIP (nonspecific interstitial pneumonia).
levophed has which agonist effect.
ETT is located this distance in cm from carina.
Which 2 etiologies of ARDS make up a combined 40-60% of cases
What is pneumonia and sepsis?
This is the initial dose of amiodarone that you can give if No ROSC is achieved in a patient that has V fib or pulseless V tach
What is 300 mg?
other than smoking , name other history risk factors for ARDs
What is ETOH, recent chemo and air pollution?
This pressor can cause reflexive bradycardia.
What is phenylephrine?
After initiation of high-quality CPR this is the next step in management of asystole or PEA and how much.
What is epinephrine 1.0 mg (10 mL of a 1:10 000 solution)
bonus how about in anaphylaxis?
Define ARDS.
What are:
1. Timing , 2. chest imaging, 3. origin of edema, 4.oxygenation- mild,mod,severe.
What is short PR interval, broad QRS complex and delta wave?
flow volume loop in vocal cord dysfunction
What is flattening of the inspiratory loop?
Name the trial advocating for prone positioning in ARDS.
What is the PROSEVA trial ?
This acronym is used to recall the reversible causes of cardiac arrest. (bonus points for naming the causes)
What are the Hs&Ts (Hypovolemia, Hypoxia, Hydrogen ion [acidosis], Hypo-/Hyperkalemia, Hypothermia, Toxins, Tamponade, Tension pneumothorax, Thrombosis [pulmonary or coronary])
Regarding evidence based recommendations for ARDS therapies, what is the only recommended therapy based on strong clinical evidence from randomized clinical trials. Hint, its a vent setting.
Low tidal volume mechanical ventilation