Take my breath away
In ARDS, this value helps to classify severity.
What is the P:F ratio?
Diuretic that functions at the proximal convoluted tubule to excrete bicarbonate and restore acid-base balance in metabolic alkalosis.
What is acetazolamide?
Goal glucose in ICU patients
What is less than 180?
Defined as MAP (Mean Arterial Pressure) -ICP (Intracranial Pressure)
What is Cerebral Perfusion Pressure?
The amount of oxygen in milliliters that each gram of hemoglobin can carry when fully saturated.
What is 1.34?
A measure that has been shown to reduce mortality in patients with ARDS
Low tidal volume ventilation, Proning, Early paralysis
Rise in creatinine >/= 0.3 within 48h OR creatinine 1.5x baseline within last 7 days OR urine output less than 0.5ml/kg/hr for 6h.
What is the definition of Acute Kidney Injury?
Should be suspected when hypotension is persistent in septic shock despite adequate fluid resuscitation and vasopressor therapy.
What is adrenal insufficiency?
Known as the pressure-volume relationship between ICP, volume of CSF, blood, and brain tissue, and CPP
What is the Monro-Kellie doctrine?
pH 6-6.5, contains 130meq Na, 4meq K, 3meq Ca, 109meq Cl, 28meq lactate
What is lactated Ringer's solution?
One of the 3 variables in the oxygen content equation - the other 2 being partial pressure of oxygen and oxygen saturation
What is hemoglobin?
Condition causing AKI, hyperkalemia, hypocalcemia, anion gap acidosis, and pigmented urine.
What is rhabdomyolysis?
Treatment includes PTU, Propranolol, Lugol's solution, and Steroids.
What is thyroid storm?
Medical management of intracranial hypertension
What is hypertonic saline, sedation/paralysis, HOB elevation?
Shifts oxy-hemoglobin dissociation curve to the right, facilitates unloading of oxygen at the level of the cell, natural survival mechanism, compensation with tachypnea
What is metabolic acidosis?
You've just performed a L subclavian vein CVC on your intubated patient who is on AC PC ventilation. You note that your tidal volumes have decreased significantly and are worried about this.
What is iatrogenic pneumothorax?
Diuretic class functioning in the distal convoluted tubule that should be avoided in hyponatremia
What are thiazide diuretics? (HCTZ, metolazone)
DKA with glucose < 250 requires addition of this fluid to prevent worsening keoacidosis.
What is dextrose-containing?
Procedural intervention for intracranial hypertension that also serves as ICP monitor
What is External ventricular drainage?
Phosphodiesterase Inhibitor, Inotropic agent, Side effect may be profound hypotension due to vasodilatation
What is milrinone?
Your patient's morning ABG shows:
pH 7.4/60/80/33/+5/98%
This ventilator change would help your patient.
What is nothing?
Indications for hemodialysis include
What are acidosis, electrolyte abnormalities (hyperkalemia), intoxications (TCAs), volume overload, uremia (pericarditis, bleeding, encephalopathy)?
Expected urine Na and urine osm in SIADH
What are high urine Na (>40) and high urine osm (>200-400)?
Operative intervention when medical management has failed
What is decompressive hemicraniectomy?
This variable in the oxygen content equation is the least effective way of estimating oxygen delivery to tissues
What is partial pressure of oxygen?