Podcast
Questions and Answers
What is the primary goal of glycemic control in ICU patients?
What is the primary goal of glycemic control in ICU patients?
- To maintain a blood glucose level of < 100
- To maintain a blood glucose level of < 120
- To maintain a blood glucose level of < 150
- To maintain a blood glucose level of < 180 (correct)
What is the purpose of using sequential pneumatic compression devices in ICU patients?
What is the purpose of using sequential pneumatic compression devices in ICU patients?
- To reduce the risk of delirium
- To reduce the risk of stress ulcers
- To reduce the risk of bleeding
- To reduce the risk of venous thromboembolism (correct)
What is the primary indication for using low molecular weight heparin in ICU patients?
What is the primary indication for using low molecular weight heparin in ICU patients?
- Delirium
- Low risk for VTE
- High risk for VTE (correct)
- High risk for bleeding
What is the definition of clinically significant bleeding in ICU patients?
What is the definition of clinically significant bleeding in ICU patients?
What is the primary purpose of the FASTHUGS-MAIDENS checklist in ICU care?
What is the primary purpose of the FASTHUGS-MAIDENS checklist in ICU care?
What is the recommended dose of unfractionated heparin for prophylactic therapy in ICU patients?
What is the recommended dose of unfractionated heparin for prophylactic therapy in ICU patients?
What is the primary goal of thromboprophylaxis in ICU patients?
What is the primary goal of thromboprophylaxis in ICU patients?
Which of the following is NOT a component of the FASTHUGS-MAIDENS checklist?
Which of the following is NOT a component of the FASTHUGS-MAIDENS checklist?
What is the recommended frequency of administration for low-dose unfractionated heparin in ICU patients?
What is the recommended frequency of administration for low-dose unfractionated heparin in ICU patients?
Which of the following is a contraindication for the use of sequential pneumatic compression devices in ICU patients?
Which of the following is a contraindication for the use of sequential pneumatic compression devices in ICU patients?
What is the primary purpose of using indwelling catheters in ICU patients?
What is the primary purpose of using indwelling catheters in ICU patients?
What is the definition of occult bleeding in ICU patients?
What is the definition of occult bleeding in ICU patients?
Which of the following is a benefit of using low molecular weight heparin in ICU patients?
Which of the following is a benefit of using low molecular weight heparin in ICU patients?
What is the primary goal of thromboprophylaxis in high-risk ICU patients?
What is the primary goal of thromboprophylaxis in high-risk ICU patients?
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Study Notes
ICU Patient Care
- ICU checklists: FASTHUGS-MAIDENS
- F – Feeding, fluids
- A – Analgesia
- S – Sedation
- T – Thromboprophylaxis
- H – Head of bed elevation
- U – Ulcer prophylaxis
- G – Glycemic control (< 180)
- S – Spontaneous breathing trials
- B – Bowel regimens
- I – Indwelling catheters
- D – De-escalation (antibiotics) – Delirium
- FASTHUGS-MAIDENS
- M – Medication reconciliation
- A – Antimicrobials
- I – Indications for medications
- D – Dosing
- E – Electrolytes (and labs)
- N – No drug interactions, allergies, duplications or adverse effects
- S – Stop dates
Venous Thromboembolism (VTE)
- Prophylactic therapy
- Pharmacological: Low dose unfractionated heparin (5000 units subcutaneous tid) or Low molecular weight heparin
- Non-Pharmacological: Sequential pneumatic compression device (for high risk of bleeding or low risk of VTE)
Stress Ulcers
- Prophylaxis for critically ill patients
- Types of bleeding:
- Occult bleeding
- Overt bleeding (~5-15%)
- Clinically significant bleeding
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