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