Don't sedate, liberate!
The letter "D" in the liberation bundle
What is assess, manage and prevent delirium?
The most common artery used for arterial line insertion
What is Radial Artery?
Atropine is unlikely to be effective in this rhythm where the atria are not communicating with the ventricles at all
What is a 3rd degree heart block?
This hemodynamic parameter is expected to increase when inotropic therapy is effective
What is cardiac output? (also acceptable is MAP, BP, ScVO2)
The range indicating a normal pH
What is 7.35-7.45?
Three exclusion criteria for performing an SAT
What is increased ICP, paralytic administration, active seizures, alcohol withdrawal, agitation, MI etc?
A flattened arterial waveform is described as this
What is an overdampened waveform?
A prolonged QTi can lead to this lethal rhythm
What is torsades de pointe?
This vasopressor increases heart rate and contractility, and causes vasoconstriction making it useful in anaphylaxis and cardiac arrest
What is Epinephrine?
The changes on a vent that will help INCREASE pH on ABG
What is increasing the RR and tidal volume?
A tool used to assess pain in sedated patients
What is the BPS?
The test to assess collateral circulation before radial art line insertion
What is the Allen's test?
ST elevation in leads V2-V4 may result in ST depression in leads II & III (mirroring the area of injury), which is classified as this
What are reciprocal changes?
Titration of this inotrope may be guided by the ScVO2/SvO2 to aid in improving oxygen supply and demand
What is dobutamine? (Milrinone also correct)
The condition demonstrated by this ABG:
pH 7.36, PCO2 55, HCO3 28, PaO2 58
What is fully compensated respiratory acidosis with hypoxemia?
The goal mobility level if your patient is currently at Stage 3 of their mobility progression
What is Stage 4?
The two peaks (pressures) visible on the art line waveform
What are systolic and dyastolic pressures?
This medication is commonly used to treat Atrial Fibrillation and requires filtered tubing
What is Amiodarone?
These medications MUST be adminstered prior to the administration of a neuromuscular blocking agent
What are analgesic and sedation?
Defined as Pa02/FIO2, used to determine the severity of ARDS/resp failure
What is a PF ratio?
These are the ventilator settings the RRT will set for an SBT
What is PS 5/Peep 5 (5/5)?
The anatomical landmark to level and zero the arterial line on a patient (and where is it??)
What is the phlebostatic axis? (4th intercostal, mid axillary line)
If this rhythm is present and the patient is stable, vagal maneuvers can be attempted to try to convert to a NSR
What is SVT?
This metabolic marker is monitored in shock to assess tissue perfusion and response to resuscitation
What is lactate?
In compliant, healthy lungs the value might be 10; in ARDS lungs, it might be as high as 30
What is the plateau pressure?