Critical Care Review Flashcards
Patient with V. fib, what is the treatment?
Defrebilation
Causes of H and T’s
Pulmonary and …
Which drugs if there is no IV access
NAVEL
Narcan
Atropine - mot any more
Epinephirine
Lidocaine
Where do narrow tachycardias come from?
supraventricular
from the atria
Adenosine slows the AV node
also Dilt, ..
Patients MAP is 70 after trying 30 ml/kg bolus crystalloid fluid
keep giving them fluids and monitor
1-hour bundle in Sepsis
- Abx within 1 hour
- IV fluids within 3 hours = 30 ml/kg
-> LR/NS - Vasopressor if MAC is too low
-> 1. Norepinephrine, 2. Vasopressin added to NE - Epinephrine
- Hydrocortisone (stop (taper) once BP is stable without vasopressor) - stable means MAC > 65 mmHg
What does the lactate level tell us?
perfusion of tissue
Does any patient who fulfill the SIRS criteria has sepsis?
No, they have to have an infection
MRSA
CLTTR - oral
Clindamycin, Linezolid, Tetracycline (Doxycycline), TMP-SMX, Rifampin
Vancomycin, Clindamycin, Bactrim, Doxycycline, Linezolid, Dapto, Ceftaroline
Pseudomonas
PCMAC
Pip/Tazo
Cefepime
Meropenem, Aztreonem
Aminoglycosides
Cipro, Levo
Atypicals
Macrolide
Tetracycline
FQ
Strep pneumo
H. Flu
Neisseria meningiditis
Salmonella
Legionella
Anaerobes
Amox + Clav (augmentin), Amp/Sulb
Clinda
Cefoxitin
Linezolid
Metronidazole
Moxifloxacin
Meropenem
Pip/Tazo
Enterococcus
Amoxicillin and Ampicillin
Cefepime
Meropenem
Moxifloxacin
Endocartitis is caused by which bugs?
Enterococcal and Staph
SSTI is caused by which bugs?
Strep pyogenes (Group A Strep, GAS) and Staph
Which bugs often cause UTI and GI infections?
Enterococcus
Which bugs often cause Meningitis?
Strep pneumona and H. flu
Listeria, Legionella and Mycoplasma often cause which type of infection?
Respiratory (pneumonia)
All antibiotics of which class cover anaerobes?
Carbapenems
What is the drug of choice for Enterococcus?
Ampicillin
Which of the following has the best coverage for UTI?
A: Amoxicillin
B: Ceftriaxone
C: Clindamycin
D: Doxycycline
Ceftriaxone is the correct answer
need antibiotic that is stable against ß-lactamase
(gram (-): E. coli, Klebsiella, Proteus)
Doxycycline covers it too, but it doesn’t get into the urine
Clindamycin covers anaerobes and gram (+) (MRSA)
Aztreonem has activity only against gram ____
gram (-)
