Critical Care 6

Question 1

EKG pattern of Brugada syndrome

Answer 1

Unusual ST-elevation of V1 and V2

Question 2

Basic mechanism of Brugada syndrome

Answer 2

Sodium channelopathy —> decreased refractory period (of cardiomyocytes

Question 3

CPAP reduces LV _____.

Answer 3

Preload and afterload

Question 4

2 steps to address VT caused by a “suction event” in an LVAD patient

Answer 4

1. Decrease the speed of the LVAD

2. Fluid bolus

Question 5

Bladder pressure diagnostic of abdominal compartment syndrome

Answer 5

20 mmHg (sustained)

Question 6

Pulse pressure variation greater than or equal to ___% indicates fluid responsiveness.

Answer 6

13

Question 7

Tidal volume should be ___ cc/kg IBW for pulse pressure variation measurement.

Answer 7

10

Question 8

What vent change will most improve dynamic hyperinflation?

Answer 8

Reducing respiratory rate

Question 9

Tx for acute chest syndrome w/ SpO2<85% or PaO2<60 on RA (and/or 3 lobes involvement on CXR)

Answer 9

Exchange transfusion

Question 10

Tx for acute chest syndrome w/ SpO2>85% or PaO2>60 on RA (and/or <3 lobes involvement on CXR)

Answer 10

PRBCs