Critical Care Essentials Study Guide
questions well answered
Pt has ARDS- what tx may be implemented to correct acidosis? - - correct answer ✔✔low tidal
volume, high peep, high O2, neuromuscular blocking agents, prone positioning, ECMO
ARDS- best diagnosis- - correct answer ✔✔PaO2/FIO2 ratio < 200
ABGs: pH: 7.26, CO2: 65, PO2: 54, HCO3: 22 -> - correct answer ✔✔Respiratory acidosis
Help in preventing delirium: - correct answer ✔✔Reorientation, quiet environment,
uninterrupted sleep, dark at HS, lights on in day, early mobility
norepinephrine- - correct answer ✔✔drug used for hypotension
Pt is sedated on Fetanyl 100, Versed 4, Riker-2; Pressure-regulated volume control; a new mode
of ventilation that combines the advantages of the decelerating inspiratory flow pattern of a
pressure-control mode with the ease of use of a volume-control mode (PRVC)- 24/240/100/16,
HR- elevated. What monitoring can be expected? - correct answer ✔✔A-line, central line, PA
cath/introducer
Pt has a creat- 3.1, K- 5.5, CVP- 20, crackles, bp- 84/42. What tx would be expected? - correct
answer ✔✔(CVVHDF)- Continuous veno-venous hemodiafiltration- uses replacement fluid and
dialysate. It combines the benefits of diffusion and convection for solute removal. anticoag is
needed to reduce the clotting of the blood in the blood tubing set and filter. Gradual removal as
opposed to HD which is harder on bp, bp 84/42
, Pt maintained on 60/14 PEEP, Riker 1, TOF- 2/4 AND prone. On NMB. Important to reorient pt->
- correct answer ✔✔true
Pt is difficult to arouse, speaking nonsensical words and grunting. What could be happening? -
correct answer ✔✔Hypercapnia and delirium
Two parts of the ICU bundle to increase extubation success rates: - correct answer ✔✔Sedation
interruption and spontaneous breathing trial
Pt O2 up to 6L- has been suctioned, continues with hypoxia, cannot clear secretions, decreasing
clinical status. When should a referral be made to CORE? - correct answer ✔✔Before the family
meeting and the actual death. Referral should be made within 60 min of actual time of death
Pt Intensive Care Delirium Screening Checklist (ICDSC) is 6. What is a tx option? - correct answer
✔✔Adm Seroquel PO at HS. The deliriogenic meds should have already been stopped, do not
give Ativan- can make Delirium worse
Myocardial O2 demand increases in a person who is: - correct answer ✔✔on a treadmill
sprinting
Transitioning to CMO and to extubate. What needs to be done prior to extubation? - correct
answer ✔✔Give something for pain/comfort, family would not want to see pt gasping for
breath. turn off alarms if family would like, turn off paralyzing agents, ask if any other family
members would like to come in. Pastoral Care
Pt was started on a new abx. bp- 64/24, hr- 132, CVP- 2, PAWP- 3, SVR? What kind of shock is
presenting? - correct answer ✔✔Anaphylactic
Septic shock: - correct answer ✔✔The most common form of distributive shock. Antibodies
respond to infection by releasing cytokines, which causes dysregulation of the vascular causing
insufficient blood flow
questions well answered
Pt has ARDS- what tx may be implemented to correct acidosis? - - correct answer ✔✔low tidal
volume, high peep, high O2, neuromuscular blocking agents, prone positioning, ECMO
ARDS- best diagnosis- - correct answer ✔✔PaO2/FIO2 ratio < 200
ABGs: pH: 7.26, CO2: 65, PO2: 54, HCO3: 22 -> - correct answer ✔✔Respiratory acidosis
Help in preventing delirium: - correct answer ✔✔Reorientation, quiet environment,
uninterrupted sleep, dark at HS, lights on in day, early mobility
norepinephrine- - correct answer ✔✔drug used for hypotension
Pt is sedated on Fetanyl 100, Versed 4, Riker-2; Pressure-regulated volume control; a new mode
of ventilation that combines the advantages of the decelerating inspiratory flow pattern of a
pressure-control mode with the ease of use of a volume-control mode (PRVC)- 24/240/100/16,
HR- elevated. What monitoring can be expected? - correct answer ✔✔A-line, central line, PA
cath/introducer
Pt has a creat- 3.1, K- 5.5, CVP- 20, crackles, bp- 84/42. What tx would be expected? - correct
answer ✔✔(CVVHDF)- Continuous veno-venous hemodiafiltration- uses replacement fluid and
dialysate. It combines the benefits of diffusion and convection for solute removal. anticoag is
needed to reduce the clotting of the blood in the blood tubing set and filter. Gradual removal as
opposed to HD which is harder on bp, bp 84/42
, Pt maintained on 60/14 PEEP, Riker 1, TOF- 2/4 AND prone. On NMB. Important to reorient pt->
- correct answer ✔✔true
Pt is difficult to arouse, speaking nonsensical words and grunting. What could be happening? -
correct answer ✔✔Hypercapnia and delirium
Two parts of the ICU bundle to increase extubation success rates: - correct answer ✔✔Sedation
interruption and spontaneous breathing trial
Pt O2 up to 6L- has been suctioned, continues with hypoxia, cannot clear secretions, decreasing
clinical status. When should a referral be made to CORE? - correct answer ✔✔Before the family
meeting and the actual death. Referral should be made within 60 min of actual time of death
Pt Intensive Care Delirium Screening Checklist (ICDSC) is 6. What is a tx option? - correct answer
✔✔Adm Seroquel PO at HS. The deliriogenic meds should have already been stopped, do not
give Ativan- can make Delirium worse
Myocardial O2 demand increases in a person who is: - correct answer ✔✔on a treadmill
sprinting
Transitioning to CMO and to extubate. What needs to be done prior to extubation? - correct
answer ✔✔Give something for pain/comfort, family would not want to see pt gasping for
breath. turn off alarms if family would like, turn off paralyzing agents, ask if any other family
members would like to come in. Pastoral Care
Pt was started on a new abx. bp- 64/24, hr- 132, CVP- 2, PAWP- 3, SVR? What kind of shock is
presenting? - correct answer ✔✔Anaphylactic
Septic shock: - correct answer ✔✔The most common form of distributive shock. Antibodies
respond to infection by releasing cytokines, which causes dysregulation of the vascular causing
insufficient blood flow
