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PICU Prep > Basics Review :) > Flashcards

Basics Review :) Flashcards

1
Q

alpha one

A

blood vessels

vc

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2
Q

alpha two

A

bv

vc

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3
Q

b1

A

myocardium
inotropy + chronotropy
increased CO, contractility

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4
Q

inotropy

A

increased CO

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5
Q

chronotropy

A

contractility

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6
Q

B2

A

bv

vasodilation

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7
Q

D1

A

renal vasodilation

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8
Q

V1

A

vc vasculature

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9
Q

Norepinephrine

A

alpha one, beta one

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10
Q

Phenylephrine

A

alpha one (increase SVR)

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11
Q

Epinephrine

A

low dose B1

high dose alpha one

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12
Q

Dopamine

A

d1, beta one, alpha one

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13
Q

Vasopressin

A

V1

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14
Q

Dobutamine

A

B1 with some B2

cardiogenic shock with HTN

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15
Q

Milironone

A

PdeIII inhibitor
profound vasodilation
RSFH, pulm HTN

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16
Q

Hypovolemic Shock

A

DECREASED PRELOAD

decreased CO, increased SVR

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17
Q

Cardiogenic Shock

A

DECREASED CARDIAC OUTPUT

increased preload, increased SVR

18
Q

Distribrutive Shock

A

DECREASED SVR

decreased preload, increased CO

19
Q

Obstructive Shock

A

decreased preload, decreased CO

increased SVR

20
Q

Types of Distributive Shock

A 
sepsis
anaphatxis
neurogenic
endocrine (AI)
drug
21
Q

Respiratory Acidosis

A

increased PCO2 –> Increased HCO3

22
Q

Respiratory Alkalosis

A

decreased PCO2 –> decreased HCO3

23
Q

Metabolic Acidosis

A

decreased HCO3 –> decrease Co2

24
Q

Metabolic Alkalosis

A

increased HCO3 –> increase Co2

25
Q

Anion Gap

A

Na - Cl - HCO3

26
Q

Corrected Anion Gap

A

AG 2.5 x (4-albumin)

27
Q

Delta Gap

A

AG -12 / 24 - HCO3
more than one metabolic alkalosis
less then one, normal AG acidosis

28
Q

Winter’s Formula

A

pco2 = 1.5 x hco3 + 8 +/- 2

29
Q

NGMA Differential

A

Diarrhea, Ureteral Diversion, RTA, Hyperalimentation, Addison, Acetazoleamide, Ammon Cl-, (misc like chlorridia)

30
Q

Cold Shock

A

Children!!
Increased SVR, Decreased CO
“clamped down”
Treat w/ Epi

31
Q

Warm Shock

A

Adults
Increased CO, decreased SVR
treat w/ NE

32
Q

Atelectasis on imaging

A

trachea will shift towards it

33
Q

Endotracheal Tube Size

A

4 + age / 4

34
Q

Metabolic Alkalosis: Chloride Responsive Causes

A

Vomiting
NG Suction
Over Diuresis
Post hypercapnia

35
Q

Metabolic Alkalosis: Chloride Resistant Causes

A

Cushings
Alkali
Conn Syndrome/aldosterone
RAS

36
Q

Ketamine AE

A 
increased secretions (laryngospasms)
HTN
37
Q

Propofol AE

A

Lactic Acidosis, Arrythmia, Death
Hypertriglycerides
Pancreatitis

38
Q

Etomidate AE

A

myoclonus

adrenal suppression in sepsis

39
Q

Succinylcholine AE

A

increased K

Increased ICP

40
Q

BP=

A

CO x SVR

41
Q

Resistance =

A

8nl/pi r^4

42
Q

CO=

A

HR x SV

PICU Prep (1 decks)

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