Ncrit Care

Question 1

TPA BP recommendation

Answer 1

<180/105 x 24 H

15% lowering SBP >220 / DBP >120

Question 2

AIS CBG?

Answer 2

140-180 mg/dl

Question 3

Aspirin given within?

Answer 3

24-48H

Question 4

% hemorrhagic transformation after IV TPA?

Answer 4

5-6%

Question 5

SBP>200 mmHg or MAP>150 mmHg:

Answer 5

aggressive BP reduction continuous IV infusion

Question 6

SBP>180 mmHg or MAP>30 mmHg and there is possible elevated ICP:

Answer 6

consider monitoring ICP and reducing BP while maintaing CPP>60 mmHg.

Question 7

SBP>180 mm Hg or MAP>130 mm Hg and evidence of elevated ICP:

Answer 7

modest reduction of blood pressure (e.g., MAP of 110 mm Hg or target blood pressure of 160/90 mm Hg).

Question 8

Vasospasm occur on days?

Answer 8

3-14 post rupture

Question 9

Inotropic agents for neurogenic stunned myocardium

Answer 9

Dobutamine

Milrinone

Question 10

SCI at T1-T4 complications?

Answer 10

Hypotension

Bradycardia

Question 11

T1-T4 hypotension & bradycardia Tx?

Maintain MAP at?

Answer 11

Norepinephrine

85-90 mmHg x 7 days after injury

Question 12

C3-C5 injury and above?

Tx?

Answer 12

Diaphragm weakness
Increase CO2 partial pressure

Intubation - Tracheostomy