You take my breath away
A picture says it all
All about the base
Treat me right
100
These 2 treatment initial treatment will help your patient:
What is: Antibiotic and removal of NG tube or oxygen therapy
100
When both pH and PaCO2 are decreased, this is the primary acid-base disturbance.
What is metabolic acidosis?
100
This combination therapy—a beta-lactam plus this class of antibiotic—is the preferred empiric treatment for hospitalized adults with nonsevere CAP according to the 2019 IDSA/ATS guidelines
What is a macrolide (such as azithromycin or clarithromycin)
200
this image reveals:
What is a normal chest xray (PA film)
200
When arterial pH is below 7.35 and PaCO2 is elevated above 45 mm Hg, this is the primary acid-base disturbance.
What is respiratory acidosis?
200
According to the 2019 IDSA/ATS guidelines, severe CAP is defined by the presence of this many minor criteria OR one major criterion
What is three (or more) minor criteria
300
This bacteria is most common cause of community-acquired pneumonia
What is strep Pna?
300
THis patient has bilateal crackles and JVD, what finding on this portable chest xray supports the decision to diurese this patient?
What are kerley B lines?
300
A 68-year-old patient with end-stage COPD presents with the following ABG: pH 7.36, PaCO2 70 mm Hg, HCO3 38 mEq/L, PaO2 55 mm Hg. The near-normal pH despite significantly elevated PaCO2 indicates this type of acid-base disturbance with appropriate renal compensation.
What is chronic (compensated) respiratory acidosis?
300
The 2019 IDSA/ATS guidelines recommend this minimum duration of antibiotic therapy in days for hospitalized adults with CAP who are clinically improving.
What is 5 days?
400
This mechanism primarily causes non-cardiogenic pulmonary edema?
Increased alveolar-capillary membrane permeability
400
In this film we se
e:
What is tension pneumothorax?
400
This formula, also known as the Winter formula, calculates the expected PaCO2 compensation in metabolic acidosis: Expected PaCO2 equals 1.5 times this value plus 8.
What is bicarbonate (or HCO3)?
400
These are the two major criteria that define severe CAP requiring ICU admission according to the 2019 IDSA/ATS guidelines.
What are septic shock requiring vasopressors and respiratory failure requiring mechanical ventilation?
500
what urgent treatmen
t is needed for this patient?
What is a right thoracentesis or chest tube?
500
This triad of clinical conditions—sepsis, chronic liver disease, and acute pulmonary embolism—are common causes of this acid-base disturbance characterized by hyperventilation and decreased PaCO2.
What is respiratory alkalosis?
500
According to the 2019 IDSA/ATS guidelines, this biomarker should NOT be used to guide the initiation of antibiotic therapy in adults with CAP, but may be useful for guiding antibiotic discontinuation.
What is procalcitonin?
600
THis type of pulmonary edema occurs after receiving a blood transfusion.
What is TRALI?
600
THis 58 year old female is being treated for community acquired strep pneumonia for 2 days and suddenly became hypoxic and lethargic. Her x ray reveals :
THis is the most likely diagnosis.
What is ARDS?
600
this is considered the safe minimum and maximum amount of CM that the ET tube is above the carina
What is 2.5-5.5 cm?
up to 7 cm max