icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"

Saturday, August 31, 2013

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Q: 52 year old male presented to ER with chest pain radiating to back. Which one blood test may rule out Aortic ...
Friday, August 30, 2013

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Q: How you define Bulla(e) and Giant bulla(e) in lung? Answer: Bulla(e): Larger than 2 cm in distended state Giant bu...
Thursday, August 29, 2013

Endoscopic Lung Volume Reduction

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Endoscopic Lung Volume Reduction Further reading: Endoscopic Lung Volume Reduction Link: http://toraks.org.tr/uploadFiles/boo...
Tuesday, August 27, 2013

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(Basics) Q: Formula for Mean Arterial Pressure (MAP) is   MAP = [(2 x diastolic)+systolic] / 3 What is the logic behind it?...
Monday, August 26, 2013

Arterial line vs cuff Blood Pressure

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Arterial catheterization (AC) is commonly used in critically ill patients to monitor blood pressure. In Critical care literature, there ...
Sunday, August 25, 2013

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Q: How much is the pressure usually inflated in the arterial line pressure bag? Answer: 300 mmHg In arterial line monito...
Saturday, August 24, 2013

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How to setup an Arterial line transducer   http://youtu.be/vJ_anWmQbUM
Thursday, August 22, 2013

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Q: Haloperidol (Haldol) can be helpful in which 2 non-central (CNS) conditions Answer: Haldol can be be tried if needed in ICU f...
Wednesday, August 21, 2013

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  Q: What are the normal QTc intervals in hospitalized patients ? Answer: According to  a scientific statement from the Ame...
Tuesday, August 20, 2013

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Q: While administrating Procainamide, what is the cut off point to stop it depending on EKG criteria? Answer: The QRS complex w...
Monday, August 19, 2013

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  Q: Which drug works best for Ventricular fibrillation  resulting from hypothermia? Answer: Bretylium Ventricular fibrillati...
Sunday, August 18, 2013

On Hypothermia

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Following is a generally witnessed clinical response of body as temperature (in centigrade) changes {37} Normal oral temperature {3...
Saturday, August 17, 2013

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   Q: What is the theoretical basis of inducing "Barb-Coma"? Answer: A barbiturate-induced coma, commonly called barb...
Friday, August 16, 2013

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   Q: What is an antagonist of Meperidine (Demerol)? Answer: Naloxone The narcotic antagonist, naloxone, is a specific ...
Thursday, August 15, 2013

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Q: Which pain medicine should be avoided while patient is getting Linezolid (Zyvox)? Answer: Meperidine Meperidine along wit...
Wednesday, August 14, 2013

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Q:  How can be some side effects of Levetiracetam (Keppra) can be curtailed down? Answer:  Addition of Pyridoxine (Vitami...
Tuesday, August 13, 2013

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Comparing Normal EEG (Top)  and  EEG  with  generalized seizure (Down)  
Monday, August 12, 2013

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Q : Why patients with Citalopram (Celexa) overdose should be observed in hospital or ICU for longer period of time than other SSRIs  ? ...
Sunday, August 11, 2013

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Q: After few minutes of getting first dose of M etronidazole, patient developed tachycardia , fever, shivering, sweating, dilated pupil...
Saturday, August 10, 2013

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Q: Why Indomethacin is not advocated any more for the treatment of Dressler's Syndrome? Answer:  Indomethacin inhibits new co...
Wednesday, August 7, 2013

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Q:  What is the difference between between Paroxysmal, Persistent and Permanent Atrial fibrillation? Answer:    Type Time period di...
Tuesday, August 6, 2013

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  Q:   How much is usually the loading dose of Amiodarone? Answer: About 10 grams An oral loading dose of Amiodarone is around a...
Monday, August 5, 2013

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Interesting article: "Blood-fluid levels in the brain" " 17 cases reviewed prospectively over a period of 4 months highl...
Sunday, August 4, 2013

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Q:  38 year old female is admitted via ED for unilateral acute nephrolithiasis. Patient is admitted to ICU because of spiking fever, se...
Saturday, August 3, 2013

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Q:  Ethylene glycol intoxication causes Hypocalcemia or Hypercalcemia ? (Choose one) Answer:   Hypocalcemia Ethylene glycol t...
Friday, August 2, 2013

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Q:   What is the the last resort treatment in severe refractory ethanol intoxication? Answer:   Hemodialysis Hemodialysis v...
Thursday, August 1, 2013

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Q:   What is the ratio of lipase to amylase in Acute alcoholic pancreatitis ? Answer: In acute alcoholic pancreatitis, the lipase...
Wednesday, July 31, 2013

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  Q: How PEEP may contribute to induce pulmonary edema? Answer: PEEP may increase pulmonary edema by 2 factors 1, incre...
Tuesday, July 30, 2013

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Q: Is it necessary to use heparinized saline in pressure bag for arterial line monitoring? Answer: No Previously, it was a standar...
Sunday, July 28, 2013

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Q: What bacteria E.coli has to do with Filgrastim (Neupogen)? Answer : Filgrastim  (Neupogen) is a granulocyte colony-stimulatin...
Saturday, July 27, 2013

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Q; What are the 3 catheter based interventions to perform mechanical thrombectomy in massive/submassive pulmonary embolism? Answer: ...
Friday, July 26, 2013

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Q; What is the significance of increased Troponin in Pulmonary Embolism? Answer:   In acute pulmonary embolism, troponins pro...
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