icupearls.org Archive

Q:   Why it is important to look at CXR for a patient presenting with symptoms consistent with Myasthenia Gravis? Answer:   To Rule out L...

Q:  W hich vaptan is contraindicated in liver failure during treatment of hyponatremia?   Answer: Conivaptan

Quinton Hemodialysis catheter insertion, use and care

Q: What could be the 4 life threatening side effects of Neupogen (Filgrastim)? Answer: 1. Neupogen may bring sickle cell cri...

Q: What is Libman-Sacks endocarditis? Answer: Libman-Sacks endocarditis is the most characteristic cardiac manifestation of syste...

Q: Is Daptomycin dialyzable? Answer: No In renal failure patients on CRRT and HD - every 48 hour dosing is recommended.

On Chylothorax Chylothorax is defined as triglycerides more than 113 mg/dl (1.24 mmol/L) in pleural cavity. A number of therapeutic ...

Q : Why it is not a good idea to add Sorbitol while administrating Katexalate for Hyperkalemia ? Answer:   Concern for Bowel Necrosi...

Q : 57 year old male severe diabetes and ESRD, 'coded' in cath lab. Patient is now in ICU after VA-ECMO (inserted by surgeon afte...

One relatively unknown use of DDAVP (Desmopressin) Desmopressin (DDAVP) can be use in treatment of sleep apnea. Patients prescribed DD...

Q: What is Gray platelet syndrome?   Answer: Gray platelet syndrome is a congenital bleeding disorder caused by a reduction or absence o...

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

Q: Despite its logistic concerns, prone positioning in severe ARDS still keeps it role. What 3 things have shown to benefits patients in re...

Q: 53 year old female post-operatively developed propofol induced dystonia. What could be a possible treatment beside stopping propofol?...

Q: What is the half life of Precedex (dexmedetomidine), when it is fully on board? Answer : About 2 - 3 hours!

Q: What is "Whoosh test"?  Answer: The whoosh test is done by rapidly injecting air down the NasoGastric tube while auscultati...

Q: Ischemic colitis remained a clinical diagnosis. Despite normal labs or no bloody stools, which one clinical sign should promptly lead...

Q: ID service advise you to consider Octreotide for a patient with Aids related diarrhea. What is the dosing? Answer...

Q : 58 year old male with Renal failure, but not yet on dialysis, is admitted with ST elevation MI and taken to cath lab for PCI and stent p...

Update on platelet inhibition assay (for Plavix monitoring)   The VerifyNow P2Y12 assay is used for monitoring platelet inhibition for pat...

Q: While working in ICU you over heard on hospital paging system "Code Silver". What does it mean? Answer: A pers...

Animation of TIPS

Q : Why steroids remain mainstay of treatment in Neurocysticercosis? Answer : Albendazole and Praziquantel are both effective in treat...

Earplugs in ICU "The use of earplugs during the night lowered the incidence of confusion in the studied intensive care patients...

Q: Inverted sleep-wake pattern (i.e sleeping by day and being awake at night), is the hallmark or at least sign of which encephelopathy? ...

Q: 52 year old male patient has been overdosed in ICU with Ambien (Zolpidem) due to medication error. What intervention may help to diagnos...

Q: Which drug overdose may present as ST elevation MI? Answer: Eszopiclone (lunesta) Lunesta is unique in a sense that its ov...

Q: Which ACE Inhibitor is well known to cause taste disturbances? Answer: Captopril Taste disturbance, infrequent with mos...

Q: In Ascites, if patient requires both spironolactone and furosemide - what combination minimize the danger of hypokalemia? Ans...

Q: 23 year old male is admitted to ICU after severe Abdominal pain. CT scan reports foreign body obstruction. GI service performed upper an...

Neurology Q: What is Ribot's law of retrograde amnesia? Answer: Ribot's Law of retrograde amnesia states that th...