14 Questions
What is the primary goal of glycemic control in ICU patients?
To maintain a blood glucose level of < 180
What is the purpose of using sequential pneumatic compression devices in ICU patients?
To reduce the risk of venous thromboembolism
What is the primary indication for using low molecular weight heparin in ICU patients?
High risk for VTE
What is the definition of clinically significant bleeding in ICU patients?
Overt bleeding of 5-15%
What is the primary purpose of the FASTHUGS-MAIDENS checklist in ICU care?
To guide medication management
What is the recommended dose of unfractionated heparin for prophylactic therapy in ICU patients?
Heparin 5000 units subcutaneous tid
What is the primary goal of thromboprophylaxis in ICU patients?
To reduce the risk of venous thromboembolism
Which of the following is NOT a component of the FASTHUGS-MAIDENS checklist?
Glasgow Coma Scale assessment
What is the recommended frequency of administration for low-dose unfractionated heparin in ICU patients?
Three times daily
Which of the following is a contraindication for the use of sequential pneumatic compression devices in ICU patients?
Active bleeding
What is the primary purpose of using indwelling catheters in ICU patients?
To monitor urine output
What is the definition of occult bleeding in ICU patients?
Bleeding that is not visible
Which of the following is a benefit of using low molecular weight heparin in ICU patients?
Is more effective in high-risk patients
What is the primary goal of thromboprophylaxis in high-risk ICU patients?
To prevent VTE
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
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.
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