acute care final exam Flashcards

1
Q

what are the pain options

A

IV opioids
pre-emptive analgesia
non-opioid analgesics

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2
Q

when should benzos be used

A

short-term sedation

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3
Q

when to not use benzos for sedation

A

high delirium risk

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4
Q

what are preferred options for sedation

A

dexmed or propofol

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5
Q

what are the AEs of propofol

A

increased lipids/TGs
propofol infusion syndrome

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6
Q

what are the AE of dexmed

A

decreased BP
not for hemodynamically unstable

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7
Q

what is prophylaxis for delirium

A

none

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8
Q

should everyone be treated for delirium

A

no

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9
Q

when to treat delirium

A

when it becomes dangerous

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10
Q

what drugs can be used for delirium

A

haloperidol or atypicals

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11
Q

what are AEs of antipsychotics in delirium treatment

A

QTc prolongation

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12
Q

when can dexmed be used in delirium

A

can help when trying to extubate

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13
Q

how is absorption altered in acute care

A

unpredictable

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14
Q

how is distribution affected in acute care

A

albumin decreased
hydrophilic drugs (aminoglycosides) increased

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15
Q

how is metabolism affected in acute care

A

decreased, no way to assess

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16
Q

how is excretion affected in acute care

A

decreased or increased in burn patients

17
Q

who should use stress ulcer prophylaxis

A

all acute care patients

18
Q

what meds for stress ulcer prophylaxis

A

PPI or H2 antagonist

19
Q

when to d/c stress ulcer drugs

A

when risk factors are gone

20
Q

heparin dose for VTE prophylaxis

A

heparin 5000 U SQ q12h

21
Q

enoxaparin dose for VTE prophylaxis

A

enoxaparin 30mg SQ q12h SQ

22
Q

what is the reduced renal dose of enoxaparin for VTE prophylaxis

A

enoxaparin 30mg q24h SQ

23
Q

what are the drug options for hypotensive shock

A

dobutamine
vasopressin
hydrocortisone
norepinephrine

24
Q

what is the first line vasopressor

A

norepinephrine