Podcast
Questions and Answers
What can be used to treat extravasation by reversing alpha 1 agonism?
What can be used to treat extravasation by reversing alpha 1 agonism?
- Dopamine
- Topical nitroglycerin
- Terbutaline
- Phentolamine (correct)
Where are the nicotinic receptors found?
Where are the nicotinic receptors found?
- Ganglionic neurons and hormone-producing cells of adrenal medulla
- Skeletal muscle fibers only
- Adrenal medulla only
- Skeletal muscle fibers, ganglionic neurons, and hormone-producing cells of adrenal medulla (correct)
What type of response occurs when acetylcholine binds to nicotinic receptors?
What type of response occurs when acetylcholine binds to nicotinic receptors?
- Always excitatory (correct)
- Can be either inhibitory or excitatory
- Dependent on the organ targeted
- Always inhibitory
Which type of receptors are found on effector cells stimulated by postganglionic fibers?
Which type of receptors are found on effector cells stimulated by postganglionic fibers?
What happens when beta adrenergic receptors are activated?
What happens when beta adrenergic receptors are activated?
Which receptors predominantly respond to low concentrations of epinephrine by increasing heart rate and contractility?
Which receptors predominantly respond to low concentrations of epinephrine by increasing heart rate and contractility?
What effect do alpha adrenergic receptors have when activated?
What effect do alpha adrenergic receptors have when activated?
Which medication activates alpha adrenergic receptors and leads to vasoconstriction?
Which medication activates alpha adrenergic receptors and leads to vasoconstriction?
Which of the following is true regarding enoxaparin?
Which of the following is true regarding enoxaparin?
Which of the following is NOT a good candidate for non-drug options for thromboembolic prophylaxis?
Which of the following is NOT a good candidate for non-drug options for thromboembolic prophylaxis?
What is the primary reason for elevating the head of the bed by 30-45 degrees?
What is the primary reason for elevating the head of the bed by 30-45 degrees?
Which of the following medications is NOT listed as contributing to delirium?
Which of the following medications is NOT listed as contributing to delirium?
Which of the following is NOT a treatment or prevention strategy for delirium mentioned in the text?
Which of the following is NOT a treatment or prevention strategy for delirium mentioned in the text?
What is the goal for QTc interval when administering haloperidol?
What is the goal for QTc interval when administering haloperidol?
Which of the following is NOT a risk factor for stress ulcer prophylaxis mentioned in the text?
Which of the following is NOT a risk factor for stress ulcer prophylaxis mentioned in the text?
What is the goal for glucose control in critically ill patients?
What is the goal for glucose control in critically ill patients?
What is the primary advantage of using IV continuous infusion of regular insulin for glycemic control?
What is the primary advantage of using IV continuous infusion of regular insulin for glycemic control?
Which statement about the use of sliding scale insulin is correct?
Which statement about the use of sliding scale insulin is correct?
What is the recommended treatment for opioid-induced constipation?
What is the recommended treatment for opioid-induced constipation?
What does the 'I' in 'BID' stand for in the context of patient care?
What does the 'I' in 'BID' stand for in the context of patient care?
What does the 'D' in 'BID' represent in the context of patient care?
What does the 'D' in 'BID' represent in the context of patient care?
What is the primary benefit of using etomidate for induction in rapid sequence intubation (RSI)?
What is the primary benefit of using etomidate for induction in rapid sequence intubation (RSI)?
Which statement about ketamine is correct when used for sedation in rapid sequence intubation (RSI)?
Which statement about ketamine is correct when used for sedation in rapid sequence intubation (RSI)?
Which drug used for induction in rapid sequence intubation (RSI) has the longest duration of action?
Which drug used for induction in rapid sequence intubation (RSI) has the longest duration of action?
Which statement about Hydromorphone is correct?
Which statement about Hydromorphone is correct?
Which route of administration is NOT mentioned for Oxycodone?
Which route of administration is NOT mentioned for Oxycodone?
Which statement about Ketorolac is correct?
Which statement about Ketorolac is correct?
Which of the following is NOT mentioned as an important reminder for analgesia?
Which of the following is NOT mentioned as an important reminder for analgesia?
Which statement about Propofol is correct?
Which statement about Propofol is correct?
Which statement about monitoring Propofol is correct?
Which statement about monitoring Propofol is correct?
Which statement about benzodiazepines is correct?
Which statement about benzodiazepines is correct?
Which agent used for sedation is NOT mentioned in the text?
Which agent used for sedation is NOT mentioned in the text?
Which of the following is NOT a type of intravenous access?
Which of the following is NOT a type of intravenous access?
Which of the following statements about Peripherally inserted Central Catheters (PICCs) is FALSE?
Which of the following statements about Peripherally inserted Central Catheters (PICCs) is FALSE?
Which of the following is a characteristic of tunneled central venous catheters (CVCs)?
Which of the following is a characteristic of tunneled central venous catheters (CVCs)?
Which of the following statements about Nasogastric (NG) tubes and Dobhoff/Corpak tubes is TRUE?
Which of the following statements about Nasogastric (NG) tubes and Dobhoff/Corpak tubes is TRUE?
Which of the following statements about the Richmond Agitation Sedation Scale (RASS) is FALSE?
Which of the following statements about the Richmond Agitation Sedation Scale (RASS) is FALSE?
Which of the following statements about the Confusion Assessment Method for ICU (CAM-ICU) is TRUE?
Which of the following statements about the Confusion Assessment Method for ICU (CAM-ICU) is TRUE?
Which of the following statements about sedation and neuromuscular blocking agents (NMBs) is TRUE?
Which of the following statements about sedation and neuromuscular blocking agents (NMBs) is TRUE?
Never ______ before sedation
Never ______ before sedation
Supportive care for continuous NMB include eye care, DVT prophy, physical therapy, and ______ assessment
Supportive care for continuous NMB include eye care, DVT prophy, physical therapy, and ______ assessment
Agents used for paralysis in RSI include depolarizing and ______ agents
Agents used for paralysis in RSI include depolarizing and ______ agents
______ is depolarizing and has fast on/off
______ is depolarizing and has fast on/off
MAP is a surrogate indicator of ______
MAP is a surrogate indicator of ______
Hypertensive ______ is asymptomatic or has mild symptoms and is often a result of non-adherence to medications
Hypertensive ______ is asymptomatic or has mild symptoms and is often a result of non-adherence to medications
Ischemic stroke is a result of emboli blocking blood flow whereas ______ stroke is defined by bleeding in the brain that leads to swelling
Ischemic stroke is a result of emboli blocking blood flow whereas ______ stroke is defined by bleeding in the brain that leads to swelling
Fibrinolytics are used in ischemic stroke with goal BP being ______
Fibrinolytics are used in ischemic stroke with goal BP being ______
Enoxaparin cannot be eliminated in ______.
Enoxaparin cannot be eliminated in ______.
Good candidates for non-drug options are patients with low platelet count (<______),traumatic bleed, or high risk of bleeding.
Good candidates for non-drug options are patients with low platelet count (<______),traumatic bleed, or high risk of bleeding.
Elevate head of bed by 30-45 degrees to prevent ______ by making aspiration gravitationally unlikely.
Elevate head of bed by 30-45 degrees to prevent ______ by making aspiration gravitationally unlikely.
Medications that contribute to delirium are benzos, opioids, sedatives, and ______.
Medications that contribute to delirium are benzos, opioids, sedatives, and ______.
Adverse effects of haloperidol include prolonged QTc, torsade de pointes, ______.
Adverse effects of haloperidol include prolonged QTc, torsade de pointes, ______.
Stress ulcer prophylaxis is indicated for patients mechanically ventilated for >______ hours and coagulopathy.
Stress ulcer prophylaxis is indicated for patients mechanically ventilated for >______ hours and coagulopathy.
Goal for glucose control is ______ mg/dL.
Goal for glucose control is ______ mg/dL.
PPIs increase gastric pH more than ______.
PPIs increase gastric pH more than ______.
IV continuous infusion of regular insulin provides the best ______ control.
IV continuous infusion of regular insulin provides the best ______ control.
Use ______ scale to assess insulin needs and avoid long-acting agents.
Use ______ scale to assess insulin needs and avoid long-acting agents.
Use ______ for opioid induced constipation.
Use ______ for opioid induced constipation.
RSI includes induction (sedation), ______ with neuromuscular blockade, and analgesics.
RSI includes induction (sedation), ______ with neuromuscular blockade, and analgesics.
Etomidate has ______ onset of unconsciousness and apnea.
Etomidate has ______ onset of unconsciousness and apnea.
Benefits of Etomidate include excellent sedation, fast on/off, and minimal ______ effects.
Benefits of Etomidate include excellent sedation, fast on/off, and minimal ______ effects.
Ketamine benefits include catecholamine release, ______, and analgesic properties.
Ketamine benefits include catecholamine release, ______, and analgesic properties.
Midazolam (Versed) has potent dose-related ______.
Midazolam (Versed) has potent dose-related ______.
_______ that activate B1 receptors include norepinephrine, epinephrine, dopamine, and dobutamine.
_______ that activate B1 receptors include norepinephrine, epinephrine, dopamine, and dobutamine.
Beta 2 receptors are predominant in arterioles and bronchi and cause _______ (because we want blood flow to areas where we want blood during fight/flight).
Beta 2 receptors are predominant in arterioles and bronchi and cause _______ (because we want blood flow to areas where we want blood during fight/flight).
Low concentrations of epinephrine activate beta2 receptors which cause _______.
Low concentrations of epinephrine activate beta2 receptors which cause _______.
High concentrations of epinephrine saturates B2 receptors and also alpha 1 receptors which cause _______.
High concentrations of epinephrine saturates B2 receptors and also alpha 1 receptors which cause _______.
Sepsis is a life-threatening organ dysfunction caused by dysregulated host response due to _______.
Sepsis is a life-threatening organ dysfunction caused by dysregulated host response due to _______.
Septic shock is sepsis related hypotension that is refractory to recommended/adequate _______.
Septic shock is sepsis related hypotension that is refractory to recommended/adequate _______.
Sepsis is diagnosed by SIRS criteria (any 2) + infection Heart rate greater than 90 beats per minute Temperature greater than 38 degressC or less than 36degreesC Respiratory Rate greater than 20 breaths per minute ______ less than 4,000 or greater than 12,000 or greater than 10% bands Systolic BP less than 90 or diastolic BP less than 60 SOFA and 1SOFA are used to monitor patients in the ICU who have sepsis.Criteria include: Respiratory Rate of greater than 22 breaths per minute Altered mentation Systolic Blood pressure less than 100.
Sepsis is diagnosed by SIRS criteria (any 2) + infection Heart rate greater than 90 beats per minute Temperature greater than 38 degressC or less than 36degreesC Respiratory Rate greater than 20 breaths per minute ______ less than 4,000 or greater than 12,000 or greater than 10% bands Systolic BP less than 90 or diastolic BP less than 60 SOFA and 1SOFA are used to monitor patients in the ICU who have sepsis.Criteria include: Respiratory Rate of greater than 22 breaths per minute Altered mentation Systolic Blood pressure less than 100.
_______ is used to monitor patients in the ICU who have sepsis.
_______ is used to monitor patients in the ICU who have sepsis.
Extravasation can be treated with ______, which reverses alpha 1 agonism and causes vasodilation.
Extravasation can be treated with ______, which reverses alpha 1 agonism and causes vasodilation.
______ Receptors are found on skeletal muscle fibers, ganglionic neurons, and hormone-producing cells of adrenal medulla.
______ Receptors are found on skeletal muscle fibers, ganglionic neurons, and hormone-producing cells of adrenal medulla.
Alpha adrenergic receptors are ______ and respond to norepinephrine and high concentrations of epinephrine.
Alpha adrenergic receptors are ______ and respond to norepinephrine and high concentrations of epinephrine.
Activation on alpha receptors lead to ______, which increases blood pressure.
Activation on alpha receptors lead to ______, which increases blood pressure.
Beta adrenergic receptors are found on the heart, liver, and ______ muscles.
Beta adrenergic receptors are found on the heart, liver, and ______ muscles.
Beta 1 receptors are predominant in the ______ and respond to low concentrations of epinephrine by increasing heart rate and contractility.
Beta 1 receptors are predominant in the ______ and respond to low concentrations of epinephrine by increasing heart rate and contractility.
Extravasation can be treated with ______, which is given as an infiltrate 5-10mg diluted in 10mL NS.
Extravasation can be treated with ______, which is given as an infiltrate 5-10mg diluted in 10mL NS.
Other treatments for extravasation include ______ and topical nitroglycerin.
Other treatments for extravasation include ______ and topical nitroglycerin.
Match the drug with its mechanism of action:
Match the drug with its mechanism of action:
Match the drug with its onset of effect:
Match the drug with its onset of effect:
Match the type of shock with its description:
Match the type of shock with its description:
Match the drug with its receptor specificity:
Match the drug with its receptor specificity:
Match the vasodilator with its duration of action:
Match the vasodilator with its duration of action:
Match the goal MAP during shock with the corresponding value:
Match the goal MAP during shock with the corresponding value:
Match the drug with its availability form:
Match the drug with its availability form:
Match the following drug with its characteristics in Rapid Sequence Intubation (RSI):
Match the following drug with its characteristics in Rapid Sequence Intubation (RSI):
Match the following benefits with the corresponding sedative used in Rapid Sequence Intubation (RSI):
Match the following benefits with the corresponding sedative used in Rapid Sequence Intubation (RSI):
Match the following drug considerations with the corresponding agent in Rapid Sequence Intubation (RSI):
Match the following drug considerations with the corresponding agent in Rapid Sequence Intubation (RSI):
Match the following onset characteristics with the appropriate drug used in Rapid Sequence Intubation (RSI):
Match the following onset characteristics with the appropriate drug used in Rapid Sequence Intubation (RSI):
Match the following side effects with the correct sedative used in Rapid Sequence Intubation (RSI):
Match the following side effects with the correct sedative used in Rapid Sequence Intubation (RSI):
Match the following benefits of agents with their corresponding sedative used in Rapid Sequence Intubation (RSI):
Match the following benefits of agents with their corresponding sedative used in Rapid Sequence Intubation (RSI):
Match the following dose characteristics with the appropriate drug used in Rapid Sequence Intubation (RSI):
Match the following dose characteristics with the appropriate drug used in Rapid Sequence Intubation (RSI):
Match the following duration attributes with the correct sedative used in Rapid Sequence Intubation (RSI):
Match the following duration attributes with the correct sedative used in Rapid Sequence Intubation (RSI):
Match the following receptors with their response to epinephrine activation:
Match the following receptors with their response to epinephrine activation:
Match the following terms with their definitions:
Match the following terms with their definitions:
Match the following drugs with their use in rapid sequence intubation (RSI):
Match the following drugs with their use in rapid sequence intubation (RSI):
Match the following terms with their characteristics:
Match the following terms with their characteristics:
Match the following receptors with their location:
Match the following receptors with their location:
Match the following medications with their effects on extravasation:
Match the following medications with their effects on extravasation:
Match the following drugs with their uses in sedation:
Match the following drugs with their uses in sedation:
Match the following terms with their correct descriptions:
Match the following terms with their correct descriptions:
Match the following treatments with their purposes:
Match the following treatments with their purposes:
Match the following drugs with their side effects:
Match the following drugs with their side effects:
Match the following actions with their outcomes when beta adrenergic receptors are activated:
Match the following actions with their outcomes when beta adrenergic receptors are activated:
Match the following terms with their correct effects on blood pressure:
Match the following terms with their correct effects on blood pressure:
Match the following vasopressors with their primary mechanisms of action:
Match the following vasopressors with their primary mechanisms of action:
Match the following inotropes with their primary characteristics:
Match the following inotropes with their primary characteristics:
Match the following statements with the correct drug: 'Phenylephrine and Norepinephrine are pH dependent.'
Match the following statements with the correct drug: 'Phenylephrine and Norepinephrine are pH dependent.'
Match the following drugs with their effects: 'Low dose epinephrine activates beta 1 receptors (increased heart rate and contractility).'
Match the following drugs with their effects: 'Low dose epinephrine activates beta 1 receptors (increased heart rate and contractility).'
Match the following drugs with their effects: 'High epinephrine activates alpha 1 receptors (increased BP through vasoconstriction).'
Match the following drugs with their effects: 'High epinephrine activates alpha 1 receptors (increased BP through vasoconstriction).'
Match the following drugs with their effects: 'Norepinephrine beta agonism is less than Epinephrine.'
Match the following drugs with their effects: 'Norepinephrine beta agonism is less than Epinephrine.'
Match the following drugs with their effects: 'Dobutamine should be avoided in patients who are taking beta blockers at home.'
Match the following drugs with their effects: 'Dobutamine should be avoided in patients who are taking beta blockers at home.'
Match the following drugs with their effects: 'Milrinone is used in cardiogenic shock when patients are taking beta blockers at home.'
Match the following drugs with their effects: 'Milrinone is used in cardiogenic shock when patients are taking beta blockers at home.'
Match the following statements about vasopressin:
Match the following statements about vasopressin: