Critical Care Flashcards
A rise in PaCo2 is indicative of what?
Respiratory attack
What does fondaparinux do?
If activates antithrombin xa which inhibits coagulation factor
Electrolyte changes in refeeding syndrome are?(3)
Hypokalemia
Low phosphate in blood
Low magnesium
What to do when you suspect SAH and CT is normal?
Lumber puncture needs to be done after 12hrs of onset of headache to rule out Xanthochromia
What happens in a diaphragmatic rupture?
The diaphragm will be positioned higher than normal and gas bubbles in the pleural cavity
Primary treatment of aortic dissection
IV labetolol
Aortic dissection features(4)
- Difference in left and right arm Bp
- X-rays shows wide mediastinum
- Severe /tearing pain that radiates to the back(MI).
4.associated with Marfan and Ehlers Danlos syndrome
What to do in patient with Fio2 -0.1 and respiratory acidosis?
Prone position or ventral decubitus
Test for Aortic dissection or mediatinitis
CT Angiography
What is a normal pulmonary capillary wedge pressure (PCWP)
6-12)
A high pulmonary capillary wedge pressure is indicative of?
Cardiogenic shock
Treatment of SAH——to reduce the rate of vasospasm induced ischemia
Calcium Antagonist—Nimodipine
What is the dosage of Sodium bicarbonate in the treatment of Tricyclic antidepressants overdose like Aminotriptyline
8.4% of 50ml
What electrolyte imbalance can result from blood transfusions
Hypocalcemia because of citrate toxicity.
Also -Hyper and hypokalemia
What drug can be used to manage drug induced hyperthermia
Dantrolene
A fracture in the base of the skull can cause?
CSF leakage from the middle cranial fossa
Treatment of compartment syndrome
Escharotomy urgent
