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Clinical Medicine - Pulmonary > Intensive Care Cases > Flashcards

Intensive Care Cases Flashcards

1
Q

Winters Equation

A

Gives predicted PCO2

Predicted PCO2 = 1.5HCO3 + 8 +/- 2

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2
Q

Anion Gap Calculation

A

Na+ - (Cl- + CO2)

Normal is 10-12 mEq/L

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3
Q

Types of respiratory failure

A 
Ventilatory failure (high CO2)
Oxygenation failure (low O2)
Airway failure (cannot protect)
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4
Q

Causes of ventilatory failure

A

Acute

  • drug overdose
  • athma
  • stroke

Chronic

  • emphysema
  • fibrosis
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5
Q

Causes of oxygenation failure

A

Acute

  • pneumonia
  • embolism

Chronic

  • emphysema
  • fibrosis
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6
Q

Clinical signs of chronic oxygenation failure

A

a

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7
Q

CPAP

A

a

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8
Q

BiPAP

A

a

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9
Q

Contraindications to NIPPV

A
  • Altered mental status (b/c no gag reflex)
  • Facial deformity or trauma
  • Stridor or burns or obstruction or airways
  • Cardiac or respiratory arrest
  • Unable to clear sputum
  • Recent thoracic surgery
  • Severe multilobar pneumonia
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10
Q

ARDS criteria

A

a

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11
Q

Signs and symptoms of ARDs

A

a

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12
Q

ABGs with ARDS

A

a

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13
Q

Causes of ARDS

A

a

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14
Q

SIRS Criteria

A

Temp > 38 or < 36
HR > 90
RR > 20 or PaCO2 < 32
WBC > 12000 or < 000 or > 10% bands

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15
Q

SEPSIS

A

SIRS + source of infection

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16
Q

Severe Sepsis

A

Sepsis + organ dysfunction/hypoperfusion

Includes
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17
Q

Septic Shock

A

Severe sepsis + persistent hypotension after adequate fluid challenge (40-60 ml/kg saline)

18
Q

MODS

A

Multiple Organ Dysfunction

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19
Q

What bacteria are likely culprits if no risk of Pseudomonas

Based on this, which bacteria do you choose?

20
Q

If at risk for pseudomonas, which antibiotics do you choose?

21
Q

What drug is added to tx if there is high risk for community acquired MRSA?

22
Q

Cardiogenic shcok

  • CO
  • TPR
  • PCWP
  • Tx
A
  • CO - dec
  • TPR - inc
  • PCWP - inc
  • Tx - diuresis, dobutamine
23
Q

Septic shock

  • CO
  • TPR
  • PCWP
  • Tx
A
  • CO - inc
  • TPR - dec
  • PCWP - dec
  • Tx - fluids, NE
24
Q

Neurogeneic shock

  • CO
  • TPR
  • PCWP
  • Tx
A
  • CO - dec
  • TPR - dec
  • PCWP - dec
  • Tx - dopamine
25
Q

Anaphylactic shock

  • CO
  • TPR
  • PCWP
  • Tx
A
  • CO - inc
  • TPR - dec
  • PCWP - dec
  • Tx - epi
26
Q

Hypovolemic shock

  • CO
  • TPR
  • PCWP
  • Tx
A
  • CO - dec
  • TPR - inc
  • PCWP - dec
  • Tx - fluids, NE
27
Q

Oxygen Content

28
Q

Oxygen Delivery

29
Q

Symptoms of malperfusion

30
Q

What are the 5 targets of early directive therapy for patients with malperfusion?

Clinical Medicine - Pulmonary (8 decks)

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