Advanced therapy Flashcards
1
Q
Thyroid storm
A
- Plasmapheresis: To remove circulating thyroid hormones.
- IV Immunoglobulins (IVIG): As adjunct therapy.
- Surgical Intervention: Thyroidectomy may be considered in extremely refractory cases.
2
Q
Beta blocker overdose
A
- High dose insulin euglycemic therapy
- Pacing
- Ventricular assist device/ IABP
- VA ECMO
- intralipid
3
Q
PHTN
A
- Inhaled selective pulmonary vasodilator
*
4
Q
Variceal bleeding
A
- Blackemore tube
- TIPS
- Surgical intervention
5
Q
Vasospasm
A
- Intravascular dilatation: verapamil, nicardipine, or milrinone
- Balloon angioplasty
6
Q
Asthma
A
- Permissive hypercapnia
- Extracorporeal Membrane Oxygenation (ECMO)
7
Q
CVT
A
- Endovascular intervention
- Mechanical thrombectomy
8
Q
Seizure
A
- Induced coma
- Ketamine
- magnesium
- pulse steroid
- immunoglobulin
- plasma exchange
- therapeutic hypothermia
- CSF drain
- surgical excision
9
Q
Hemorrhagic shock after CABG
A
- Massive blood transfusion
- Protamine
- Tranexamic acid
10
Q
DVT
A
- IVC filter
11
Q
VV ECMO with hypoxia
A
VA ECMO
12
Q
Increased ICP
A
- Cranioctomy
- Mild hypocapnia
- Increase CPP with fluid, pressors to achieve target CPP 60
- Mild hypothermia
- Thiopental coma
13
Q
PE
A
- Catheter-directed thrombolysis
- Surgical embolectomy
- VA-ECMO support
- Vena cava filter (IVC); when indicated as preventive intervention but no as treatment option.
14
Q
Septic shock (UTI)
A
- Continue full organs support, Vasopressors, mechanical ventilations, goal directed antimicrobial with considerations of source control (might need nephrostomy )
- start CRRT
- sepsis biomarkers removal ( Oxiris, Cytosorb or polymyxin membranes )
- family counselling
- Decide about direction of care if patient is not responding., age, comorbidities, his quality of life earlier
