acute care final exam Flashcards
what are the pain options
IV opioids
pre-emptive analgesia
non-opioid analgesics
when should benzos be used
short-term sedation
when to not use benzos for sedation
high delirium risk
what are preferred options for sedation
dexmed or propofol
what are the AEs of propofol
increased lipids/TGs
propofol infusion syndrome
what are the AE of dexmed
decreased BP
not for hemodynamically unstable
what is prophylaxis for delirium
none
should everyone be treated for delirium
no
when to treat delirium
when it becomes dangerous
what drugs can be used for delirium
haloperidol or atypicals
what are AEs of antipsychotics in delirium treatment
QTc prolongation
when can dexmed be used in delirium
can help when trying to extubate
how is absorption altered in acute care
unpredictable
how is distribution affected in acute care
albumin decreased
hydrophilic drugs (aminoglycosides) increased
how is metabolism affected in acute care
decreased, no way to assess
how is excretion affected in acute care
decreased or increased in burn patients
who should use stress ulcer prophylaxis
all acute care patients
what meds for stress ulcer prophylaxis
PPI or H2 antagonist
when to d/c stress ulcer drugs
when risk factors are gone
heparin dose for VTE prophylaxis
heparin 5000 U SQ q12h
enoxaparin dose for VTE prophylaxis
enoxaparin 30mg SQ q12h SQ
what is the reduced renal dose of enoxaparin for VTE prophylaxis
enoxaparin 30mg q24h SQ
what are the drug options for hypotensive shock
dobutamine
vasopressin
hydrocortisone
norepinephrine
what is the first line vasopressor
norepinephrine
