Hemodynamics
Mean arterial pressure can be calculated with this formula
What is (1/3 SBP) + (2/3 DBP)
This is the preferred type of fluid used in the management of septic shock
What are balanced crystalloids
These receptors can be found in the heart and lungs
What are beta receptors
First line vasopressor for most shock states
What is norepinephrine
This is considered the time to that antibiotics should be initiated
What is within 1 hour
This invasive monitoring device can measure CI, SV, SVV, CO, and SVR
What is Vigileo/Flotrac
This fluid has a pH very similar to blood
What is Plasma-Lyte
This medication prevents the breakdown of cAMP resulting in increased cardiac out
What is Milrinone
Decreased cardiac index, increase systemic vascular resistance index, increased pulmonary capillary wedge pressure
What is classic cardiogenic shock
True/False: Antibiotics should be given before blood cultures are obtained
What is false
This shock state can see a decline in SVR
What is distributive shock
This relationship plays an important role in assessing fluid responsiveness in patients
What is Frank-Starling
Dopamine begins to have ___ activity at doses greater than 10 mcg/kg/min
What is beta
This combination of agents showed improved 90-day survival and vasopressor free days
What is hydrocortisone + fludrocortisone
Respiratory, Intra-abdominal, bacteremia, endocarditis, skin and soft tissue
What are common sites of infection
This shock state can see increases in HR, SVR, CVP, and PCWP
What is cardiogenic shock
5% albumin is considered _______ while 25% albumin is considered ________
What is iso-oncotic & hyper-oncotic
The max dose of Angiotensin II is __ ng/kg/min
What is 80
Norepinephrine 0.15 mcg/kg/min and increasing...
What is add vasopressin
Recent IV antibiotics < __ days is considered a risk factor for MDR infections
What is 90
These factors can affect preload
What is ventricular compliance, heart rate, resistance from heart valves, and atrial contraction
This trial demonstrated that there was no mortality difference seen in patients who received strict fluids vs liberal fluids in patients with sepsis induced hypotension
What is CLOVERS trial
At high doses of dopamine infusions, this effect can happen to patients
What is renal shunting
Augmentation during diastole improving coronary perfusion
What is intra-aortic balloon pump
Neutropenia, immunosuppression, high dose corticosteroids, total parenteral nutrition
What is risk factors for fungal infections