Critical care

Question 1

introducer sheath

Answer 1

central line type for large volume effusions

Question 2

at what pressure do you infuse fluids with hemorrhagic shock?

Answer 2

Let it hang and use parameters.

Question 3

why do you not just give blood initially with hemorrhagic shock?

Answer 3

capillary leak

Question 4

value of base deficit

Answer 4

marker of perfusion

Question 5

also to always do with transfusions

Answer 5

1) replete calcium

2) warm patient (cold can cause coagulopathy)

Question 6

approach to abx for sepsis

Answer 6

1) start with gram-negative broad coverage with Zosyvn

2) then go on to coverage gram-positives

Question 7

pressor of choice for shock

Answer 7

Norepinephrine (dopamine is commonly in crash cart because it is more pharmacologically stable, so use whatever is available)

Question 8

CVP valuable for assessing blood volume status?

Answer 8

No.

Question 9

most important component of septic shock management

Answer 9

early abx

Question 10

free-floating RA or ventricular thrombus

Answer 10

• clot that is just hanging out in atrium or ventricle waiting to embolize