SIR Monograph 2010

Question 1

What is half life of IV heparin?

Answer 1

1-1.5 hours

Question 2

What is half life of Coumadin?

Answer 2

1-3 days

Question 3

What is half life of SC lovenox?

Answer 3

3-6 hours

Question 4

How to correct INR for liver patients?

Answer 4

FFP

Question 5

How to do intervention on someone with thrombocytopenia due to hypersplenism?

Answer 5

Periprocedural platelet infusion

Question 6

How to treat severe hyperkalemia?

Answer 6

Calcium gluconate 500 mg IV over 2-3 minutes

Question 7

What is considered severe hyperkalemia?

Answer 7

> 6.5 mEq/L (normal less than 5.0)

Question 8

What acid-base disturbance is caused by NGT suction?

Answer 8

Metabolic alklosis

Question 9

How to treat metabolic alkalosis?

Answer 9

NS infusion

Question 10

Current ACR recommendations for metformin?

Answer 10

DO NOT stop metformin in normal patients (GFR>30)

If GFR<30, stop day of and for 48 hours

Question 11

How to initially manage patient in DKA?

Answer 11

Transfer to ICU, start IV fluids (1500 cc NS in 60 minutes, then decrease) start IV insulin

Question 12

Best IV Abx for complex biliary procedure?

Answer 12

Zosyn (piperacillin-tazobactam)

Cipro with incomplete enterococcal coverage

Question 13

Abx guidelines for MVP?

Answer 13

No prophylactic abx needed for MVP