Critical Care

Question 1

Increased SvO2 = what versus decreased?

Answer 1

Increased is lower utilization or increase delivery, low is increase utilization or lower delivery

Question 2

What is Cardiac Output?

Answer 2

HR X Stroke Volume

Question 3

What is afterload?

Answer 3

The resistance to flow (systemic vascular resistance)

Question 4

What is mean arterial pressure?

Answer 4

CO x SVR or SBP + (2XDBP)/3

Question 5

What is the sepsis bundle?

Answer 5

To be complete in 1 hour: Lactate level, blood cultures (prior to antibiotics), broad spectrum antibiotics after blood cultures, administer 30 mL/kg crystalloid or lactace >4

Question 6

What is the vasopressor of choice in sepsis?

Answer 6

norepinephrine (vasopressin can be added if needed)

Dopamine is an alternative

Question 7

Are crystalloids or colloids preferred in sepsis fluid resuscitation?

Answer 7

Crystalloids (lower cost)

Question 8

Should vasopressors be given via central line?

Answer 8

Yes, they should be

Question 9

What drugs can be given endotracheal?

Answer 9

Naloxone, Atropine, Epinephrine, Lidocaine

Question 10

How to reduce shivering in targeted hypothermia?

Answer 10

Sedatives (dexmedetomidine, ketamine), analgesics (meperidine), magnesium, buspirone, neuromuscular blockade (last line).

Question 11

What happens in blood glucose be during targeted hypothermia?

Answer 11

Hyperglycemia during hypothermia, hypoglycemia during rewarming

Question 12

Is there a risk of hyperkalemia during rewarming?

Answer 12

YES