Critical Care Flashcards
why are patients admitted to the ICU?
patients requiring vasopressors and inotropes or sedatives
patients on life supporting devices, such as renal replacement (CRRT) and oxygenation (ECMO)
what is an EEG?
records electrical activity of brain to monitor for seizures, sedation, and function
a bedside monitor displays:
a. O2 saturation, BP, and HR
b. HR, BP, and vitals
c. Vitals, HR, and O2 saturation
d. HR, BP, and O2 saturation
b
what does a licox device do?
measures oxygen levels in the brain
what does a hemedex monitor do?
measures blood flow in the brain
what is a central line used for? how is it different from the IV pump?
deliver meds and draw blood
it only delivers meds whereas IV pump can provide fluids, but IV pump does not draw blood
what does FASTHUG stand for?
Feeding
Analgesia
Sedation
Thromboprophylaxis
Head of bed elevation
Ulcer prophylaxis
Glycemic control
why is FASTHUG used?
it reduces errors, increases efficiency and safety
When to apply FASTHUG?
while pre-rounding, during multi-disciplinary rounds, and after rounds
ideally initiate feeding of patient within _______ hours
24-48w
what are the typical meds we use for sedation in ICU?
propofol
dexmedetomidine
benzos
what do we use to assess a patients sedation level? what is our goal value on this scale?
Richmond Agitation Sedation Scale (RASS)
-1 to 0 (-1 = drowsy, lower = more sedation. 0= alert and calm, higher becomes more aggressive
how do we treat ICU delirium?
day/night orientation and early mobilization. DO NOT USE DRUGS!
Head of bed elevation refers to having the patients bed at a ____ elevation
30-45 degree
how do we prevent ulcers?
consider preventative therapy in what circumstances?
H2RAs and PPIs
mechanical ventilation over 48 hours or on coagulotherapy
