Critical Care Flashcards
Cardioplegia solution
High concentration potassium
Location of the SA node
Junction of RA and SVC
Most common cause of acquired aortic stenosis
Calcific degeneration
Mild hypothermia
90-94 shivering and mild mental changes, tachycardic
Moderate hypothermia
(84-89) agitated combative, afib hypoT
Severe hypothermia
(70-84) flaccid comatose, vfib, death
Profound hypothermia
(<70) loss of vitals/cardiac activity
Unstable patient in afib; tx
Synchronized cardioversion
Tx systolic heart failure with fluid overload
Dobutamine and diuretics
Cardiac arrest hypothermic; next step
ABC’s then immediate rewarming
PCWP 6; CO 1.5; SVR 400; venous O2 50%
Neurogenic shock
Pre-op workup for patient able to perform 4 METs
None
Lethal triad
Hypothermia, coagulopathy, metabolic acidosis
CPP define and target for TBI
CPP=MAP - ICP; 60-70mmHg
Percent septic shock idiopathic
30%
Septic shock resuscitated and started on NE with MAP of 50; next step
Vasopressin 0.03units/min
Sodium deficit
(Desired sodium - patients sodium) x TBW(60% males and 50% females)
High CVP, PCWP and SVR with low CI; type of shock
Cardiogenic
Renal response to hypovolemia
Vasoconstriction of efferent arteriole, secretion of ADH, RAAS stimulation
Definitive treatment hyperkalemia
Dialysis
Highest risk surgeries for post-op delirium
Cardiothoracic followed by ortho
Most common risk factor for post-op afib
fluid overload
PCWP 6, CI 1.5, SVR 1800, venous O2 50%; type of shock
Hypovolemic or hemorrhagic
POD2 hypoxia with normal vitals, exam, CXR; dx and tx
Atelectasis, IS
Gradual change in amplitude with twisting of QRS around isoelectric line; dx and tx
Torsades; IV magnesium 2g push followed by 2-3mmol/L infusion
Gastric outlet obstruction acid-base/electrolyte disorder and renal excretion
hypochloremic hypokalemic metabolic alkalosis, aciduria with potassium excretion
Precipitates dysrhythmias even at low-normal potassium levels
Digoxin (binds to Na/K ATPase at K+ binding site
Precipitates dysrhythmias even at low-normal potassium levels
Digoxin (binds to Na/K ATPase at K+ binding site
Post-op SOB, ipsilateral dullness to percussion, decreased breath sounds, contralateral tracheal deviation; dx
Pleural effusion/empyema
Orientation of great neck vessels for IJ placement
IJ lateral to Common Carotid
Early finding of compartment syndrome
Pain with passive stretch
Compartment pressure indicating fasciotomy
Delta 20-30mmHg
Hard sign to stop therapeutic hypothermia
Hemorrhage
Marker for Hepatorenal syndrome and tx
Decreased GFR, transplant