ICU review session - dr. denny

ICU review session - dr. denny

Transcript

1. Critical Care Medicine John Denny MD May 2020
3. (C is incorrect, most patients have resolution of pulmonary edema within 24 hours and short duration mechanical ventilation (choice D is incorrect)
6. Question 46 continued Out of OR intubations: Lazarus effect may be seen
8. Question 57 continued •What is the name for this type of arrest?
10. Question 57 continued b •Where do you insert needle?
11. Question 57 continued c Can you just leave catheter sticking out of patient’s chest wall?
12. Question 57 continued c Can you just leave catheter sticking out of patient’s chest wall? NO!! . If you leave the catheter open to air, patient can re- accumulate PTX.
13. Question 57 continued d What do you connect catheter to?
14. Question 57 continued c Ex. of jury-rigged water seal. Note water level in syringe at arrow. If you leave the catheter open to air, patient can re- accumulate PTX.
17. Question 60 continued In SICU, it is important to continue patients’ Parkinson’s meds post op, even if it requires placing an NGT.
21. Question 67 continued: GCS Remember: Intubated patients get a t: Best GCS possible is 11t Anyone with a pulse has a MINIMUM GCS of 3.
28. Also hydroxy- chloroquine (rare), more common when combined with Azithromycin
39. Regarding Previous Q on ARDSNET You want to be very familiar with this concept of lung-protective ventilation. It will appear on written exams The topic is also well suited as part of an oral board question involving an ICU patient.
41. SVR • SVR= [ (MAP minus CVP) x 80] divided by C.O.
64. • …of withdrawal. However, there is some evidence that longer-acting agents may be more effective in preventing seizures. • Propofol has been used successfully for treatment of severe ethanol withdrawal that is resistant to large doses of benzodiazepines.
72. The End