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Flashcards in NBRC Shock Deck (22):
1

This class of drug can cause low urine output.
This vasopressor can also cause low urine output.

Ace Inhibitors
Low dose dopamine

2

Remember that a drop in urine output is a symptom of another disease. A drop in urine out put less than ___ is a BIG DEAL on the test!

40 milliliters per hour

3

If you give a fluid challenge to a patient, how much fluid are you giving?
What if they're in sepsis? What kind of fluid?

500-1000 ml of crystalloid fluid
Sepsis: 300-500 ml of COLLOID fluid

4

How do you treat thrombocytopenia?

Steroids, intravenous immunoglobulins. If no response, splenectomy.

5

Bone marrow replacement or chemotherapy can cause this condition.

Thrombocytopenia

6

Patients with an injury below __ may initially breathe adequately, but may eventually progress to ventilatory failure.
Clear C-spine using this test:

C-4
CT scan.

7

In Rhabdomyolysis, skeletal muscle breaks down rapidly and breakdown products are released into the bloodstream. It's really bad for the ___.

Kidneys

8

If a patient has been trapped, consider this disease.

Rhabdomyolysis.

9

On the test, if a patient came to the ICU with no fever and now they have a fever, consider this condition.
What should you do?

Sepsis.
Get blood cultures.

10

What are the three most accurate places to take a patient's temperature?

1. Intravascular space
2. Esophagus
3. Bladder

11

These two types of methods for getting a patient's temperature are not acceptable.

Axillary measurements
Chemial dot thermometers

12

You should get 3-4 blood cultures on a sepsis patient. They shoudl all be done within ___ hours of admission. When should you get the first one?

Within 24 hrs of onset of fever.
Before starting antimicrobial therapy.

13

If a sepsis patient does not have an IV, how do you get blood cultures? What if the patient does have an IV?

Venipuncture. But they have to be two seperate venipunctures.
If pt has an IV, one has to be by venipuncture and the other via IV.

14

How much blood should be used for a blood culture?

10-20 mL.

15

Before starting antimicrobial therapy, you should get this.

Cultures

16

Name four common types of community acquired pneumonia.

S. Pneumoniae (Most common)
Legionella
Mycoplasma
Chlamydia

17

What antibiotic is used to treat community acquired pneumonia? x3
Also, you should add what? x2

Ceftriaxone, cefotaxime, or ampicillin-sulbactam
Macrolyde (azithromycin) or a fluoroquinolone.

18

What is used to treat MRSA?

Vancomycin

19

Nosocomial infections are usually caused by (gram positive or gram negative) bacteria. Most commonly it's ___ (type of bacteria).

Gram negative
Staph aureus.

20

Treat nosocomial infections with ___ or ___.
Also, add ___ or ___.

Cephalosporins or carbapenem
Plus, add fluoroquinolone or aminoglycoside.

21

What two bateria are associated with catheter related infections?
What is used to treat it?
One more thing that you should do:

Staphylococcus and Staph Aureus.
Treat with Nafcillin.
Remove the catheter.

22

Use a PICC line if IV therapy is supposed to go for more than ___ days.

Six days.