Treasure Chest
On echo in addition to RV dilation in patients with PE these can also be found (name at least 2)
What are RV free wall hypokinesis, interventricular septal flattening (D-Shape), McConell's sign (apical sparing), and High PAP?
Pts post CABG/Cardiac Surgery should have surgery postponed for this long to decrease this complication.
What is 100 days and MACE?
While the highest risk period for Postop MI is 48-72hrs significant elevated risk persists for this long
What is 7 days?
Administration of doses lower than 0.4 mg of this medication can cause this side effect.
What is Atropine and Paradoxical Bradycardia?
Pts with LMA in place and light anesthesia are at risk for this respiratory complication.
What is Post Obstructive Pulmonary Edema?
For tension PTX needle decompression is now recommended here.
What is 4th/5th intercostal space Mid-Axillary Line?
Pts post balloon angioplasty should have surgery postponed for this long.
What is 14 days>
Pt with acute cocaine intoxication should avoid surgery for this long
What is 24hrs (min 8)?
Stable and Unstable Bradycardia are differentiated based on this and if unstable refractory to medication should be treated with this.
What are signs of end organ ischemia and pacing?
Pedi pt on extubation from T and A surgery acutely desaturates, laryngospasm is suspected due to this sound and is initially treated with this.
What is Inspiratory stridor and PPV?
ETCO2 above this level can be used as an indicator of adequate chest compressions.
What is > 15mmHg?
Pts post Bare Metal Stent should have surgery postponed for this long.
What is 4-6 weeks (30 days min)?
Pts post stroke should have surgery postponed for this long.
What is 9 months (6 months min)?
Pts with A-fib and WPW given this medication are at risk for worsening tachycardia due to this.
What is a Beta-Blocker (or Ca Channel Blocker) and selective blockade of Normal Pathway and conduction through aberrant pathway?
In addition to onset within 1 week of symptoms these criteria are used to diagnose ARDS and this being the threshold for severe ARDS.
What are bilateral pulmonary opacities, severe hypoxemia (PaO2/FiO2 < 300 with PEEP > 5) and (PaO2/FiO2 < 100 (80)?
*Berlin Criteria
A difference of more than 5 between PaCO2 and ETCO2 in a hemodynamically unstable is likely due to this physiologically.
What is increased deadspace (Zone 1)?
Pts post DES placement should have surgery postponed for this long and this long recommended if able to continue DAPT.
What is at least 6 months (6-12) and 3-6 months?
Generally surgery for pediatric patients with recent URI should follow this timeline
What is delay 4 weeks (2-4 weeks)?
*6 weeks airway recovery
Pt with unstable a-fib treated with this
What is synchronized cardioversion?
RSBI stands for this, this is the formula, and the threshold for extubation is this.
What is Rapid Shallow Breathing Index, RR / TV (L) and 105?
TACO is distinguished from TRALI based on these differences in Echo findings and while treatment is similar in several aspects differs in this way.
What are Overload findings reduced EF, Enlarged Ventricle (hyper- vs hypo- tension) and diuretics?
*Both usually occur within 6hrs of transfusion, pulmonary edema. Tx stopping transfusion (if possible), supportive oxygen (low volme/lung protective).
Pts post MI without intervention should have surgery postponed for this long
What is at least 60 days (2 months)?
Pts with Methamphetamine use should have surgery delayed for a minimum of this long and optimal delay is this long.
What are 48hrs and 7 days?
The sequence of treatment in a pt in Vfib in the OR.
What is CPR (Chest compressions), Epinephrine 1 mg, Defibrillate as soon as possible, continue CPR 2 min, then pulse check?
Obese pt with pelvic fracture and prolonged immobilization has acute onset of severe hypoxia, decreased ETCO2 and tachycardia despite optimizing medical management, most likely has this diagnosis and this intervention may be indicated.
What is PE and V-V ECMO?