FCCS Questions with Correct Answers
What is the first indicator of critical illness
Tachypnea
Evidence of decreased perfusion include?
AMS, Urine output, skin temperature
DIRECT
Detection, intervention, Reassessment, effective communication, teamwork
Late sign of circulatory demise
hypotension
Important indicator of critical illness
Metabolic acidosis -> lactacte measurement -> anaerobic metabolism
What does metabolic acidosis suggest?
hypo perfusion
1st priority in managing a critical patient
Stabilize first, then determine diagnosis and definitive treatment
Define Sepsis
life-threatening organ dysfunction cause by host response to infection
Define Septic Shock
Clinical sepsis requiring vasopressors to maintain a MAP > 65mmHg and Lactate > 2mmol/L
despite volume resuscitation
,Most common clinical presentation of infection
Fever (hypothermia has very poor prognosis)
Morbidity related to sepsis can be predicted by...
AMS, SBP < 100mmHg, RR > 22
Antibiotic regimen for community-acquired PNA in the immunocompetent?
Beta-Lactam + Macrolide or Fluoroquinolone
Antibiotic for aspiration PNA
Clindamycin
Antibiotic regimen for the community-acquired PNA in the immunocompromised?
Trimethroprim-sulfamethoxazole (bactrim) and anti fungal agent
Antibiotic for S. Aureus?
Vancomycin or Linezolid
Antibiotics for nosocomial and ventilator-associated PNA?
Cephalosporin 3rd/4th gen, Beta-lactam, or carbapenem
Antibiotic for pseudomonas?
Antipseudomonal beta-lactam (piperacillin-tazobactam, cefepime, imipenem, meropenem)
Most common pathogens for meningitis?
Neisseria and Strep Pneumoniae
Most common pathogen in severe community-acquired PNA?
S. Pneumoniae
, Pathogens commonly associated with hospital-acquired PNA?
Gram-negative & S. Aureus
Necrotizing soft-tissue infections require
surgical debridement and antimicrobial therapy immediately
What is the minimum pH patients will tolerate
7.20
What is normal tidal volume
6-8ml/kg of IBW
What is normal minute ventilation?
7,000-8,000
Normal inspiratory time in adult
1 sec, COPD -> up to 3 seconds
Normal expiration time
2 seconds
Minute ventilation equation
MV = RR x TV
Where should the ETT terminate on the chest XR?
2-6cm above the carina (below the clavicle, above the heart)
What is the optimal peak inspiratory pressure on the ventilator?
< 35mmHg
What is the first indicator of critical illness
Tachypnea
Evidence of decreased perfusion include?
AMS, Urine output, skin temperature
DIRECT
Detection, intervention, Reassessment, effective communication, teamwork
Late sign of circulatory demise
hypotension
Important indicator of critical illness
Metabolic acidosis -> lactacte measurement -> anaerobic metabolism
What does metabolic acidosis suggest?
hypo perfusion
1st priority in managing a critical patient
Stabilize first, then determine diagnosis and definitive treatment
Define Sepsis
life-threatening organ dysfunction cause by host response to infection
Define Septic Shock
Clinical sepsis requiring vasopressors to maintain a MAP > 65mmHg and Lactate > 2mmol/L
despite volume resuscitation
,Most common clinical presentation of infection
Fever (hypothermia has very poor prognosis)
Morbidity related to sepsis can be predicted by...
AMS, SBP < 100mmHg, RR > 22
Antibiotic regimen for community-acquired PNA in the immunocompetent?
Beta-Lactam + Macrolide or Fluoroquinolone
Antibiotic for aspiration PNA
Clindamycin
Antibiotic regimen for the community-acquired PNA in the immunocompromised?
Trimethroprim-sulfamethoxazole (bactrim) and anti fungal agent
Antibiotic for S. Aureus?
Vancomycin or Linezolid
Antibiotics for nosocomial and ventilator-associated PNA?
Cephalosporin 3rd/4th gen, Beta-lactam, or carbapenem
Antibiotic for pseudomonas?
Antipseudomonal beta-lactam (piperacillin-tazobactam, cefepime, imipenem, meropenem)
Most common pathogens for meningitis?
Neisseria and Strep Pneumoniae
Most common pathogen in severe community-acquired PNA?
S. Pneumoniae
, Pathogens commonly associated with hospital-acquired PNA?
Gram-negative & S. Aureus
Necrotizing soft-tissue infections require
surgical debridement and antimicrobial therapy immediately
What is the minimum pH patients will tolerate
7.20
What is normal tidal volume
6-8ml/kg of IBW
What is normal minute ventilation?
7,000-8,000
Normal inspiratory time in adult
1 sec, COPD -> up to 3 seconds
Normal expiration time
2 seconds
Minute ventilation equation
MV = RR x TV
Where should the ETT terminate on the chest XR?
2-6cm above the carina (below the clavicle, above the heart)
What is the optimal peak inspiratory pressure on the ventilator?
< 35mmHg
