CVS
Dyspnea, weight gain, and cardiomegaly are all signs of this condition
What is heart failure?
The difference between systolic blood pressure and diastolic blood pressure
What is pulse pressure?
This is a procedure that is the most effective way to obtain an airway in a patient and involves timely administratin of an analgesic, sedative, and paralytic
What is a rapid sequence intubation?
A class of longer-acting sedative medications that are known to contribute to critical care delirium; some with amnesic properties
What are benzodiazapines?
This IV medication has beta-adrenergic effects and is used to increase cardiac output. It's usual dose range is 5-20 mcg/kg/min
What is Dobutamine?
In this slow heart rhythm Atropine is unlikely to be effective; you will also see consistent pr interval
What is a second degree Type II AV block (Mobitz II)?
The amount of blood pumped by the ventricles each minute
What is cardiac output?
Strategies to avoid this condition are frequent mouthcare and include an e-Vac with the ETT
What is VAP? Ventilator Associated Pneumonia
When above 20mmHg, this condition is considered a medical emergency because it decreases CPP and can result in brainstem compression
What is increased intracranial pressure?
An osmotic diuretic used to decrease elevated ICP
What is Mannitol?
Which coronary artery blockage is known as the widow maker
What is the proximal LAD?
This is where you would obtain a TRUE mixed venous blood gas from (for your SvO2 or "venous sat" value) and assess your pulmonary artery pressures
What is a Pulmonary artery (PA) catheter?
This high risk intervention is used for ARDS patients in order to optimize V/Q (ventilation/perfusion)
what is pronation therapy?
This is the best objective assessment tool for altered level of consciousness
What is the Glascow Coma Scale?
This class of medications are powerful anti-inflammatories; a side effect includes blocking the action of insulin after administration and inducing hepatic gluconeogenesis
What are glucocorticoids
e.g. Prednisone, Dexamethasone, Prednisolone
This can be described as the resistance to ventricular emptying during systole?
What is afterload?
This waveform represents a falsely low systolic and high diastolic value; the upstroke of the square wave appears slurred and diminished with or without a dicrotic notch
What is an overdamped arterial line waveform?
A P/F ratio of <300 mmHg would indicate or represent this condition
What is ARDS?
A change in cognition that often includes confusion and can be classified as hyperactive or hypoactive
What is delirium/critical care delirium?
This medication is considered a "major blocker" of K, Na and Ca channels during cardiac action potentials therefore is used commonly to treat acute tachyarrhythmias; causes prolonged QTi
What is Amiodarone?
This type of myocardial infarction often requires aggressive fluid management and the avoidance of nitrates and diuretics
What is a right sided MI?
This can be measured in a ventilated patient who is in a controlled mode, in a regular cardiac rhythm, and has an arterial line insitu, to assess whether a patient will be responsive to fluids
What is Pulse Pressure variation?
This can result in patients with obstructive lung disease (e.g. COPD or asthma) who are ventilated when gases/air end up being retained in the lungs at end-expiration
What is auto PEEP?
(or air trapping or breath stacking acceptable)
These two blood pressure medications commonly given in ICU, might be considered for acute stroke patients who are eligible for reperfusion therapy to keep their BP below 185/110mmHg
What are IV Labetalol and IV Hydralazine?
(Nicardipine also acceptable)
A patient with confirmed septic shock should be started on antibiotics within this time frame
What is within 1 hour of recognition?