Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Capstone Final > Acute ICU > Flashcards

Acute ICU Flashcards

1
Q

Which drug may reduce the duration of delirium in adult ICU patients?

A

Atypical antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risk factors for delirium

A 
Preexisting dementia
	History of HTN
	History of alcoholism
	High severity of illness at admission
	Coma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Prevention of delirium

A

Early mobilization (no pharm prevention)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Non-pharm treatment for delirium

A

glasses, low stimulation environment, get rid of unneeded drugs, frequent reorientation (this is where you are, why you’re here etc), make sure they know when it is daytime vs. nighttime.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Important AE for atypical antipsychotics?

A

QTc prolongation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which sedative has some analgesic properties?

A

Dexmedetomidine (Precedex)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the MOA of dexmedetomidine (Precedex)

A

Alpha 2 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 2 most common side effects of dexmedetomidine?

A

Bradycardia and hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Brand name of propofol?

A

Diprivan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Levophed generic name is:

A

Norepenephrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some underlying causes of agitation and sedation?

A

Pain, delirium, hypoxemia, hypoglycemia, withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does RASS stand for?

A

Richmond agitation-sedation scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Midazolam brand name:

A

Versed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Midaxolam MOA

A

GABA-A agoinst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where is midazolam metabolized?

A

liver (clearance decreases with age or renal/hepatic impairment)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MOA of propofol

A

Binds to multiple receptors in the CNS including GABA-A, gycine, nicotinic and M1 receptors

17
Q

Which drugs have anticonvulsant effects?

A

Propofol, Midazolam.

18
Q

Which allergens are included in Propofol that you need to be aware of?

A

Egg and soy

19
Q

Clinical presentation of propofol infusion syndrome

A

Metabolic acidosis, hyperlipidemia, cardiac dysfunction, rhabdomyolysis, acute renal failure

20
Q

MOA of dexmedetomidine

A

selective Alpha2 receptor agonist

21
Q

What are some pros of precedex?

A

Sedative (but more easily arousable and interactive), minimal respiratory depresion, analgesic/opioid sparing and sympatholytic properties

22
Q

If a patient is on precedex do they need to be on a ventilator?

A

No, because respiratory depression is minimal, but you do need to have an Ambu bag in the room.

23
Q

Which agent has the shortest elimination half life?

A

Dexmedetomidine

24
Q

Lorzapam is formulated with propylene glycol, what is the problem with this?

A

Acidosis with longer durations

25
Q

What are some advantages of analgesic optimization before sedation?

A

decreases mechanical ventilation time and ICU length of stay

26
Q

Generic for Neosynephrine

A

Phenylephrine

27
Q

Phenylephrine works on which receptors?

A

primarily alpha 1

28
Q

First line vasopressor for the treatment of septic shock

A

Norepinephrine (“You absolutely need to know this” - Laswell)

29
Q

What is septic shock?

A

SIRS + infection + refractory to fluids

30
Q

Which vasopressor is most likely to cause arrhythmias? (tachyarrhythmias and tachydisrhythmias)

A

Dopamine (comes in a premixed bag)

31
Q

What does B1 receptor stimulation do?

A

increase myocardial contractility and chronicity

32
Q

What are some dose dependent effects of dopamine?

A

low: vasodilation (renal), medium: increased cardiac contractility and chronotropy, Mild SVR incrase, High: vasoconstrictiond due to alpha 1 mediated vasoconstriciton

33
Q

MOA of norepinemprine?

A

potent alpha 1 agonist and modest b agonist activity

34
Q

WHAT IS THE DRUG OF CHOICE FOR SEPTIC SHOCK!!??

A

Norepinephrine

35
Q

What is another name for vasopressin?

A

Antidiuretic hormone

36
Q

What dose should you not exceed with vasopressin and why

A

.04 units/min (larger doses lead to ischemia)

37
Q

Which vasopressor can cause malignant ventricular arrhythmias?

A

Dobutamine

38
Q

MOA of dobutamine

A

Selective B1-agonist with mild B2 and vascular a1-activity

Capstone Final (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions