SCORE Flashcards
What has post op delirium in adults been associated with strongly
cognitive dysfunction
How long is AC duration for unprovoked DVT
3 months per CHEST guidelines
3 main cytokines of the inflammatory response 2/2 critical illness
TNF, IL1, !L6
expected endoscopic finding for aortoenteric fistula?
endoscopic finding?
air around graft
distal duodenal bleeding
burn percents
New formula
2cc x kg x TBSA
1/2 over 8 h
1/2 over 16h
A 41-year-old patient is status post orthotopic liver transplant for acute hepatitis A liver failure. You are trying to reconcile their immunosuppression regimen. The surgeon notes the patient received a polyclonal induction immunosuppression in the OR. Which agent are they referring to
Antithymocyte globulin is a rabbit-derived polyclonal antibody commonly used for induction immunosuppression. It inhibits the stimulation of the IL-2 receptor leading to lymphocyte depletion. Corticosteroids inhibit the production and mobilization of proinflammatory mediators. They are used in the acute postoperative phase with a taper
4 CAM ICU components and how to apply them
It is composed of 4 components: (1) acute onset of mental status changes or fluctuating course; (2) inattention; (3) disorganized thinking; and (4) altered level of consciousness. The patient is considered CAM positive (ie, delirious) when features 1 and 2, plus either 3 or 4 are present. The CAM-ICU is 80% sensitive and 95.9% specific
Dissociative threshold for ketamine IV
1-1.5 mg/kg
Who is ketamine cx in?
Uncontrolled hypertension
Glaucoma
Penetrating eye injuries
Acute porphyria
Psychiatric disturbances
What is a toxic syndrome resulting from benzo infusions
Alternative med?
Propylene glycol toxicity —- acidosis
Versed, does not contain solvent
propofol syndrome?
Hyperlip
HF
Brady
Rhabdo
LA
dexmedetomidine side effect
bradycardia, hypotension due to alpha 2 effects
SCI level for neurogenic shock
T6 and up
30 day ventriculostomy infection rate?
Percent GNR?
Duration where infection rate increases
10%
33%
5 days
Components of ICAM
- Acute AMS
- Inattention
- Disorganized thinking
- AMS
What is the preferred screening tool for delirium
CAM ICU
What percent of delirium patients survive to 12 month follow up
50%
go to haldol dosing for elderly delirium
1-2mg q 1h PRN
MCC of anoxic brain injury
CA
Mortality increase with hypoxia in TBI
3 times
myoclonus indicates
anoxic encephalopathy
Gaze deviation indicates 2 things how does it present
Stroke towards lesion
Seizure away
