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14 Questions

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ICU Patient Care Checklist

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Questions and Answers

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?

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?

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?

Overt bleeding of 5-15% Signup and view all the answers

What is the primary purpose of the FASTHUGS-MAIDENS checklist in ICU care?

To guide medication management Signup and view all the answers

What is the recommended dose of unfractionated heparin for prophylactic therapy in ICU patients?

Heparin 5000 units subcutaneous tid Signup and view all the answers

What is the primary goal of thromboprophylaxis in ICU patients?

To reduce the risk of venous thromboembolism Signup and view all the answers

Which of the following is NOT a component of the FASTHUGS-MAIDENS checklist?

Glasgow Coma Scale assessment Signup and view all the answers

What is the recommended frequency of administration for low-dose unfractionated heparin in ICU patients?

Three times daily Signup and view all the answers

Which of the following is a contraindication for the use of sequential pneumatic compression devices in ICU patients?

Active bleeding Signup and view all the answers

What is the primary purpose of using indwelling catheters in ICU patients?

To monitor urine output Signup and view all the answers

What is the definition of occult bleeding in ICU patients?

Bleeding that is not visible Signup and view all the answers

Which of the following is a benefit of using low molecular weight heparin in ICU patients?

Is more effective in high-risk patients Signup and view all the answers

What is the primary goal of thromboprophylaxis in high-risk ICU patients?

To prevent VTE Signup and view all the answers

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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Description

Test your knowledge of the ICU patient care checklist, covering essential aspects such as feeding, analgesia, sedation, and more. Review the FASTHUGS-MAIDENS mnemonic to ensure you're providing optimal care. This quiz is perfect for healthcare professionals and students looking to improve their critical care skills.