icupearls.org Archive

Q: Why commonly use medicine in 'transplant ICUs' may cause acute attack of Gout? Answer: Tacrolimus (Prograf) ...

Q: Why steroids are not favored as treatment choice in acute pericarditis? Answer: They increase the chance of recurrent pericard...

Q: What is the basic objective of administrating D-5 dextrose solution peri and post operatively? Answer: Administering a 5% dext...

Interesting case report Survival of acute hypernatremia due to massive soy sauce ingestion A 19-year-old man presented to the Emer...

Q:  Why initiation of warfarin is always recommended with Heparin/LMW Heparins, particularly at higher doses? ...

Q: What are the best places to obtain TCD (Trans Cranial Doppler)? Answer: The bones of the skull block the transmission of ultr...

  The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular v...

Link: http://youtu.be/aTwroYONy1o  

Points Factors related to patient Mallampati score III or IV 5 Obstructive apnea syndrome 2 Re...

Q: Name 3 commonly used drugs in ICU which may cause TTP (Thrombotic thrombocytopenic purpura)? Answer: 1. Plavix (clopidogre...

                                         If video does not work,                           link is http://youtu.be/ufPmm6BupqY  

Q: Why Succinylcholine should be use with caution in  Myasthenia Gravis patients? Answer: Succinylcholine can have  unpredictab...

Q: What is the equivalency of  fosphenytoin sodium to phenytoin sodium? Answer: Fosphenytoin sodium is a prodrug and its acti...

Q: Why calcium is the first line of treatment in hyperkalemia than Insulin/Dextrose or Albuterol treatment? Answer:  Calcium ...

Q: What's the rate of removal of potassium via Kayexalate (Sodium Polystyrene) and hemodialysis? Answer: Kayexalate (Sodium Poly...

Q: What is "ABCDE" Bundle/approach for Delirium? Answer: A wakening and  B reathing (minimize sedation) C oordination...

Q: Which commonly use Antibiotic in ICU may cause black discoloration of tongue? Answer: Linezolid Fortunately its not very co...

Q: What are the 2 major differences on clinical exam between  Myasthenia Gravis   (MG) and Lambert-Eaton syndrome? Answer: 1. ...

Non-rebreather masks are designed to capture the first 150ml of the exhaled breath into the reservoir bag for inhalation during the subseque...

Persistent hypocalcemia associated with therapeutic plasma exchange performed to reduce HLA antibody levels in cardiac transplant recip...

Q: What is Todd's Paresis ? Answer: Todd's paresis is focal paralysis which occurs after seizure, and usually resolves wi...

Q: What is the pathophysiology of playtpnea in Hepatopulmonary syndrome ? Answer: In hepatopulmonary syndrome, there is a shunting an...

 http://youtu.be/Exqua1pExno

Q:   When is IV calcium contraindicated in symptomatic hypocalcemia? Answer: Hypocalcaemia induced b...

APPROACH A = Assess P = Pre-Oxygenate P = Prepare R = Review  (backup plan) O = Oxygen cut off determination - to re-bag at wh...

Q: Which one disease process is found to be protective in ARDS? Answer: Sounds weird! but its Diabetes Click on following...

PURPOSE: Monitoring of fluid balance (FB) can be achieved by subtracting recorded fluid output from input or by measuring changes in b...

Q: For average patient, Gentamicin should be given per (choose one)? A) Ideal or adjusted body weight or B) Actual body w...

Q: What is the optimum way of drawing Vancomycin trough level? Answer:   Usually Vancomycin peak is not required, and Van...

Q: What care should be taken on giving Linezolid (Zyvox) to patients who are on HD (hemodialysis)? Answer: ...

Q: Why Glycopyrrolate is always used with Neostigmine for 'reversal' of neuromuscular blockade after surgery? Answer:     G...

Q: What is the target PETCO2 (Capnography) value during CPR? Answer: Between 10 and 20 mm Hg. If PETCO2 values less than 10 ...