ICU Medicine

Question 1

CV changes in pregos

Answer 1

IVC compression

↑ Preload, ↓ Afterload

↑ O2 consumption

Question 2

Heme changes in prego

Answer 2

↑ RBC mass/ ↑ Plasma volume –> dilutional anemia

hypercoagulable

↓ Immune function (prevent attacking fetus)

Question 3

Prego GFR and acid base

Answer 3

resp alk w/ met acidosis

↑ GFR

Question 4

4 types of shock

Answer 4

Hypovolemic (hemorrhagic)
Distributive (sepsis) ↓ SVR
Cardiogenic (valve failure)
Obstructive (PE)

Question 5

Prego OB hemorrhage

Answer 5

placenta previa / abruption

uterine rupture

Question 6

Postpartum hemorrhage

Answer 6

uterine atony

rx: massage, ergots, prostacyclins, oxytocin, balloons

Question 7

SIRS criteria

Answer 7

T > 38 or < 36
HR > 90
RR > 20 or PaCO2 < 32
WBC < 4 or > 12

Question 8

Can you give contrast CT in pregos

Answer 8

yes!

Question 9

Blood clot in a prego rx

Answer 9

LMW Heparin

at least 6 months / and 6 weeks postpartum

Question 10

Target vent parameters

Answer 10

PaO2 > 70

PaCO2 30-32

Question 11

often 1st sign of shock

Answer 11

↓ UA

Question 12

Undifferentiated shock vasopressor should be?

Answer 12

levofed