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ER/ICU/Surg 6 CC
Critical Care
| Question | Answer |
|---|---|
| What are the antidotes to the following toxins?: antimuscarininc, anticholinergic agents | Physostigmine |
| What are the antidotes to the following toxins?: benzos | flumazenil |
| What are the antidotes to the following toxins?: TCAs | sodium bicarb |
| What are the antidotes to the following toxins?: warfarin | FFP (immediate results), vit K (takes time to work) |
| What are the antidotes to the following toxins?: methanol, ethylene glycol (antifreeze) | Fomepizole, ehtanol |
| What are the antidotes to the following toxins?: arsenic | Dimercaprol, succimer, and penicillamine |
| An 18yo man is found to have a systolic heart murmur heard at the apex and left lower sternal border that increases in intensity while standing after squatting. What dx do you suspect? | HOCM |
| What's the clinical definition of HTN? | BP>140/90 x 3 on 3 separate occassions at least 2 weeks apart |
| Tx for non-hemolytic transfusion rxn? | Acetaminophen |
| Fever, chills, nausea, flushing, tachycardia, tachypnea in a pt receiving a blood transfusion? | Acute hemolytic transfusion rxn. MCC is overlooked ABO incompatibility. Tx is supportive. |
| When does delyaed hemolytic rxn have its onset? | 2-10d after transfuion. Look for slight fever, falling H/H, and mild incr in unconj bilirubin |
| How is uriticaria in transfusion rxns treated? | Diphenhydramine |
| Thrombocytopenia developing 5-10d after transfusion primarily in women? | Post-transfusion purpura |
| What are the preferred vessels in the placement of a Swan-Ganz catheter? | R IJV adn L subclavian v |
| What type of immunodeficiency increases the risk of anaphylactic rxn? | IgA deficiency |
| Which blood product is most appropriate in the following scenarios?: severe anemia due to autoimmune hemolytic anemia | PRBCs |
| Which blood product is most appropriate in the following scenarios?: hemophilia | A: factor 8 (factor "Ate"). B: factor 9 |
| Which blood product is most appropriate in the following scenarios?: DIC | FFP +/- platelets |
| Which blood product is most appropriate in the following scenarios?: shock due to trauma or postpartum hemorrhage | whole blood, PBRCs |
| Which blood product is most appropriate in the following scenarios?: to maintain blood pressure during large volume paracentesis | Albumin |
| Which blood product is most appropriate in the following scenarios?: hemorrhage due to warfarin OD | FFP |
| Which blood product is most appropriate in the following scenarios?: need for vWF-rich blood products | cryoprecipitate |
| Which blood product is most appropriate in the following scenarios?: thrombocytopenia | platelets |
| Which vasopressor matches the following statements?: theoretically causes renal vasodilation | dopamine |
| Which vasopressor matches the following statements?: high doses optimize the alpha-1 vasoconstriction | epinephrine |
| Which vasopressor matches the following statements?: ADH analogue | vasopressin |
| Which vasopressor matches the following statements?: best choice for anaphylactic shock | epinephrine |
| Which vasopressor matches the following statements?: best choice for septic shock | NE |
| Which vasopressor matches the following statements?: best choice for cardiogenic shock | dobutamine |
| Which vasopressor matches the following statements?: causes vasoconstriction but with bradycardia | NE |
| In a Swan-Ganz catheter (pulm a catheter), of what is the wedge pressure a good estimate? | L atrial pressure (also LV diastolic pressure) |
| Which blood products replace clotting factors? | FFP, cryoprecipitate, whole blood, donor clotting factors, recombinant clotting factors |
Created by:
sarah3148
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