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ABIM Pulmonary > Non-Pulmonary Critical Care > Flashcards

Non-Pulmonary Critical Care Flashcards

1
Q

Avoid morphine for ICU-sedation in what comorbidity?

A

Renal failure

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2
Q

What class of sedatives for ICU is associated with INCREASED delerium?

A

Benzodiazepines

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3
Q

Symptoms of PRIS (Propofol-Related Infusion Syndrome)?

A

Bradycardia, plus 1 of:

  • Metabolic acidosis
  • Rhabdomyolysis
  • Hyperlipidemia
  • Enlarged / fatty liver
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4
Q

EKG in PRIS (Propofol-Related Infusion Syndrome)?

A

Brugada pattern: Convex-curved ST segment elevation in V1-V3, RBBB, heart block, arrhythmias.

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5
Q

Treatment of PRIS (Propofol-Related Infusion Syndrome)?

A
  • Adequate Carbs
  • Carnitine
  • HD/ECMO???
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6
Q

Best prophylaxis from ICU-delerium?

A

Early PT/OT.

-Wrong answers: circadian rhythm cycling, any particular medication.

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7
Q

Name 9 common ICU drugs that prolong QTc

A
  • Amio
  • Levophed
  • Fluconazole
  • Diphenhydramine
  • Tacrolimus
  • Methadone
  • Bactrim
  • Vasopressin
  • Digoxin
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ABIM Pulmonary (37 decks)

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