Cardio
Buzzwords: ST elevations with apical ballooning on echo
Fluid protocol for sepsis?
30cc/kg
Patients with nephrotic syndrome are at risk for this life threatening complication(s)
DVT/PE
3 ways to confirm ETT placement
Auscultation
ETCO
CXR
Vasopressin is also known as...
ADH/AVP
What agents will you consider in patients with A Fib and concurrent hypotension?
Amio
Dig
Name 3 IV Abx covering pseudomonas
PIPTAZO, CEFTAZIDIME, AMINOGLYCOSIDES, CIPROFLOXACIN, COLISTIN, MEROPENEM/IMIPENEM
THIS TREATMENT IS FIRST-LINE FOR THE PENTAD OF THROMBOCYTOPENIA, RENAL FAILURE, HEMOLYSIS, ALTERED MENTAL STATUS AND FEVER.
PLASMA EXCHANGE
Minute ventilation is determined by...
RR and vT
Measures pressures in pulmonary artery
What is Pulmonary Wedge Pressure?
Which ionotrope does NOT cause tachycardia?
Hint- occasionally done as an IV drip in outpatients for symptomatic relief
Milrinone
Organism that can lead to sepsis with concurrent adrenal crisis
N Meningitis
What kind of a test can we do in an oliguric patient to determine if they have underlying kidney function
Furosemide stress test
3 strategies proven to decrease mortality in ARDS?
Ventilation (low vT, high PEEP
Paralysis
Proning
The rule that says the more the myocardial fiber is stretched during filling, the more it shortens during diastole and the greater the force of the contraction.
Starlings Law
Which drug is indicated in an SVT where you see delta waves?
Procainamide
Indication for steroids in sepsis?
Hypotension despite fluid + pressor support
Name at least 2 causes of pulmonary-renal syndrome
EGPA, GPA, MPA, SLE, IgA Vasculitis, Goodpastures
2 types of VQ mismatch
Dead space
Shunt
Stage of shock w/ normal or narrowing pulse pressure, but adequate enough to perfuse vital organs (heart, brain).
Compensatory stage
Name any 4 causes for pulsus paradoxus
Tamponade
Tension PTX
PE
Asthma
Pericarditis
Restrictive cardiomyopathy
In a JAMA study- this is a strategy done on physical exam that was superior to lactic measurements to assess adequate fluid resus.
Cap refill time
In continuous renal replacement therapy (CRRT), these drug specific characteristics/factors affect their dialyzability
molecular weight, protein binding, volume of distribution, water solubility, and plasma clearance
Features of propofol infusion syndrome?
Hypotension
Brady
Rhabdo
HLD
Acidosis
This is a local antidote for extravasation of vasopressors.
What is phentolamine?