icupearls.org Archive

On Belviq (lorcaserin) Belviq is a new anti obesity pill approved by FDA and expected to have a huge demand. The drug works by ...

Something to be aware about Pradaxa (Dabigatran)   According to FDA guidelines, Dabigatran potency get highly effected by enviromental hum...

A note on Phenytoin (Dilantin) stability Phenytoin is very unstable when diluted even in normal saline. Precipitation may occur which i...

Q: What is the dose of Methylene blue in treatment of Methemoglobinemia?  Answer: Methylene blue 1% solution (10 mg/ml) 1 to 2 mg/kg gi...

Q: What is the formula to convert S/F ratio to P/F ratio?   - PaO2/FiO2 and SpO2/FiO2 ratio  Answer : S/F = 64 + 0.84*(P/F)   An S/F...

Ultrasound Guidance for Thoracentesis

Parker Nasal Intubation  

Q: 34 year old male patient had LP (lumbar punture) 4 days ago but continue to complaint of severe headache. Analgesics are not working. Wh...

Sympathetic Storming Sympathetic storming after traumatic brain injury remains one of the most dramatic clinical scene particularly in ...

A note on Factor 7 (rVIIa) and thrombocytopenia Factor 7 (rVIIa - Novoseven) is now significantly use as off label in uncontrolled bleedi...

Red urine during transfusion. Q; You have been called to evaluate a patient who developed red-urine. At bedside, you noticed pRBC transufio...

Q: 32 year old otherwise healthy male with 2 weeks history of sinusitis presented with siezure. ER physician called you while he sent patie...

Q: What could be the supporting finding on lab in (Transfusion-related acute lung injury (TRALI)?    Answer : Laboratory findings may inc...

Q: Name an epileptic drug which can be given rectally if required?  Answer: Depakote (valproic acid) Dilute syrup 1:1 with water for us...

Q: Which of the following medicines can cause "Red Man Syndrome"?   A) Ciprofloxacin,   B) Amphotericin B,   C) Rifampcin   ...

Ice test - Poor man's test for Myasthenia Gravia   Most of the Myasthenia patients along with other symptoms of weakness usually exhib...

Q: What is the best way to follow on Amiodarone overdose?    Answer: Follow serial QT duration   Surprisingly, Overdose with amiodarone...

Q: 42 year male with no previous history known is brought to ER with mental status change, fever and nuchal rigidity. CT scan is not much...

A note on balloon inflation volume of Pulmonary Artery catheter in patients with Pulmonary Hypertension Pulmonary artery occlu...

A note on SVo2 and ScVo2 ScvO2 reflects principally the degree of oxygen extraction from the brain and the upper part of the body. ...

Q: How much time does oral Vitamin K take to be effective? Answer: About 24 hours In absence of active bleeding, oral Vitamin K is alw...

2 Phases of Amniotic Fluid Embolism (AFE) Once the fluid and fetal cells enter the maternal pulmonary circulation, usually AFE present...

Following is the protocol for Argatroban for patients effected with HIT (Heparin-induced thrombocytopenia) Click here Source:   Bo...

Q: Why Heparin is called Heparin?   Answer: Heparin was discovered by a second-year medical student at Johns Hopkins University named Ja...

Q: The Activated Clotting Time (ACT) is essentially a point of care test (POC) of coagulation that is used to monitor the anticoagulant ef...

TandemHeart Training Video

Q: What are the classic findings in Ventricular Aneurysm repair? Answer: Classic findings in Ventricular Aneurysm are first degr...

IVC filter migration to heart   Source: Inferior Vena Cava Filter Migration to the Right Ventricle: A Case Report and Review of Filter M...

A note on False positive Troponin I due to RF Troponin complex is located on the thin filament of skeletal and myocardial muscle. The hi...

Q: 48 year old male after crushing injury developed Rhabdomyolysis. At what day you expect CPK to peak? Answer: Despite adequate treatme...

Q: What added advantages Metformin offer in diabetic patients with cardiac morbidity?   Answer: Metformin is shown to reduce LDL and trig...

Q: Mesothelioma can occur in which other organ beside pleura, pericardium and peritoneum?  Answer: Testicles (Tunica Vaginalis layering)...