icupearls.org Archive

Q:  TandemHeart can provide Cardiac Index up to what level? Answer:  Cardiac index of 2.62 L/min/m2 The pump flow rate ranged from 1....

Q: What are the three levels of BPF (Broncho-pleural Fistula) ? Answer:  The severity of the air leak is generally measured into...

Q: How much Talc powder is needed for pleurodesis ? Answer: 3 to 5 grams For pleurodesis, 3 to 5 grams of talc are insufflated into ...

Q: How frequent tubing for propofol infusion should be changed ? Answer: 12 hours Recommended time period to change tubing for...

Q: Risk of re-feeding syndrome increases after how many days of NPO status or poor intake? Answer: 5 days It is not uncommon...

Q: Which one electrolyte should be replaced with Thiamine infusion in Wernicke's encephalopathy? Answer:  Mg Magnesium i...

Q: Which 2 common conditions in ICU may give falsely elevated Pre-Albumin level? Answer: 1. Alcohol intake 2. Steroid administra...

●Albumin less than 3.0 g/dL (30 g/L) ●INR greater than 1.5 ●Altered Mental status ●Systolic blood pressure of 90 mmHg or less ●Ag...

Q: Name 3 conditions where PT, PTT and platelet count is not affected - but only the bleeding time increase? Answer: 1. ASA...

Q: Intestinal bacteria synthesize a large amount of Vitamin K. Taking broad spectrum antibiotics can destroy how...

Q: What is the rule of thumb to diagnose Rhabdomyolysis using CPK level? Answer: Once CPK levels reach above 5 times the upper l...

Q: 72 year old male, nursing home resident, admitted to ICU for Pneumonia and getting treated with Linezolid start having fever, agit...

Q: Which 2 commonly used drugs in ICU may cause non-infectious Leucocytosis beside steroids? Answer: 1. Lithium 2. Bet...

Q: What are the 2 major different risk factors in Acute  Eosinophilic pneumonia  (AEP) and chronic  Eosinophilic pneumonia  (CEP)? Ans...

Q: What is the cutoff point for the thickening of the gallbladder in acalculous cholecystitis on ultrasound? Answer: 3 to 3.5 mm Ultra...

Q: Which condition is abbreviated as "SILENT"? Answer:    "Syndrome of Irreversible Lithium-Effectuated Neurotoxicity...

Q:   Name at least 3 commonly used drugs in ICU - which should not be infuse via same infusion/port line as furosemide infusion? Answer:...

Q:  Indomethacin is one of the NSAID which is used in nephrogenic DI (Diabetes Insipidus). What is the mehansim of action? Answer: NSA...

Q:   How Desmopressin is different from Vasopressin? Answer: Desmopressin, 1-deamino-8-O-arginine-vasopressin (DDAVP) is a synthetic ...

Q:   What different options are available, in case patient develops life-threatening bleeding as a complication of fibrinolytic therapy? ...

Q:   How you define trophic enteral feeding? Answer: Trophic feeding is a small volume of ...

Q:   In which 3 clinical conditions Anti-XA Assay can be misleading? Answer: 1. Hemolysis ...

Q:   What is the formula to calculate fibrinogen to be infused via cryoprecipitate to patient? Answer: Number of bags = 0.2 x wei...

Q:   What is Platypnea-orthodeoxia? Answer: Platypnea-orthodeoxia is a clinical syndrome characterized by dyspnea and deoxygenation acco...

Q:   What percentage of patients may require permanent pacemaker (PPM) after transcatheter aortic valve implantation (TAVI)(Corvalve)? ...

Q:   52 year old male is admitted to ICU as "Pre-op" CABG patient. Previous admission record showed patient with diagnosis of HIT...

Q:   What is the most common cause of "false-negative" D-Dimer test? Answer:   inappropriate collection of specimen D-Dimer t...

Q: Why its called Drug "eluting" stent? Answer: D rug "eluting" stents refers to metal stents that elute (slowly re...

Q: What is May-Thurner syndrome? Answer: May-Thurner syndrome is the compression of the left iliac vein by the...

Q: How to perform oculocephalic and oculovestibular reflex testing as one of the determinant of brain death? Answer:   Oculoceph...

Q: What is Paradoxical CNS acidosis? Answer:  When Bicarbonate (HCO3) is infused, CO2 enters the blood brain barrier and forms carbonic...