icupearls.org Archive

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

Tuesday, March 31, 2015

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Q: Succinylcholine should be use with caution for intubation in all of the  following patients with  except   A) Neuromuscular diseases...
Monday, March 30, 2015

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Q: What one trick may be used in patient during intubation to avoid rapid hypoxemia during paralytic phase due t...
Sunday, March 29, 2015

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Q: 57 year old male with ESRD is admitted to ICU with hyperkalemia in "7.5 range" causing EKG changes ...
Saturday, March 28, 2015

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Q: What is the effect of Sodium bicarbonate and THAM on Na and K (Sodium and Potassium)?   Answer:  ...
Friday, March 27, 2015

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Q: What is Terson syndrome? Answer: Terson syndrome is a vitreous hemorrhage in association with subarachnoi...
Thursday, March 26, 2015

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 (Basics) Q: How diarrhea is defined in ICU ?   Answer:  Diarrhea  can be best defined in ICU as at least three or more liquid...
Wednesday, March 25, 2015

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Q:  What is the relapsing rate in Clostridium Difficile Colitis (CDI) ?   Answer:  About 25%   Clostrid...
Tuesday, March 24, 2015

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Q:  Which part of the bodies are more prone to be "Red" in "Red Man Syndrome" secondary to IV Vancomycin? Answer...
Monday, March 23, 2015

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Q:  Why Albumin is used in Liver dialysis? Answer:    Liver dialysis is similar to hemodialysis and based on the same principles....
Sunday, March 22, 2015

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Q:  Out of the following, which has shown promise in the treatment of  "Fat Embolism Syndrome" (FES)?...
Saturday, March 21, 2015

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Q:  34 year old oncology patient on active chemotherapy cycles admitted to ICU with neutropenic fever and sepsis...
Friday, March 20, 2015

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Q:  You have been called to Oncology floor to manage patient who was admitted for routine chemotherapy. According to nurse, patient was ju...
Thursday, March 19, 2015

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Q: 54 year old male with ESRD on hemodialysis is admitted to ICU with shortness of breath. ER resident ordered CT scan of chest "ju...
Wednesday, March 18, 2015

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Q: 54 year old male is admitted to ICU with infective endocarditis. Blood cultures are growing Clostridium sept...
Tuesday, March 17, 2015

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Q: How long does it take for fever to subside after stopping offending agent in "Drug Induced Fever" ? Answer:  About 72...
Monday, March 16, 2015

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Q: Name at least one most commonly used drug in ICU which causes  diarrhea  in its elixir form Answer:  Acetaminophen   Acetam...
Saturday, March 14, 2015

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Q: What is the general overlap time between IV insulin and SQ insulin at resolution of DKA Answer:  About 60 minutes (few recommen...

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Q: 54 year old male with PMH of HTN, DM, Steroid dependent COPD - is admitted to ICU with confusion, hypotension, severe vomiting an...
Friday, March 13, 2015

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Q: What does it mean by Quaternary care ? Answer: Quaternary care is an extension of tertiary care in reference to advanced le...
Thursday, March 12, 2015

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Q: 46 year old female with history of gout is admitted to ICU with fever, hypotension and right swollen knee w...
Wednesday, March 11, 2015

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Q: Which one other test beside Glomerular Filtration Rate (GFR) and Serum Creatinine (SCr) , can be used in ear...
Tuesday, March 10, 2015

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Q: All of the following have shown to decrease post cardiac surgery atrial fibrillation ? A) Statins B) C...
Monday, March 9, 2015

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Q: What is the characteristic of Hypertension in Cushing's triad ? Answer:  Widening of pulse pressure Cushing's triad i...
Sunday, March 8, 2015

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Q: Rapid correction of Sodium particularly in chronic hyponatremia can be dangerous as it may cause osmotic demy...
Saturday, March 7, 2015

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Q: Lorazepam is one of the most common drug for sedation in ICU. Vehicle to transport this drug in IV infusion is Propylene Glycol. With ...
Friday, March 6, 2015

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Q: Beside dipyridamole (Persantine), name at least one drug in which dose of  adenosine should be decreased? Answer: Diazepam (Val...
Thursday, March 5, 2015

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Q: What is the 'Atropine test' during determination of Brain Death Evaluation? Answer: "Atropine test" during Brai...
Wednesday, March 4, 2015

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Q: Patient coded in ICU and didn't survive the full ACLS  protocol. How long should you wait before officially declaring patient dea...
Tuesday, March 3, 2015

Pearls on use of Capnography in Code Blue

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When a person doing CPR tires, the patient's end-tidal CO2 falls. Its time to change  the guard, so a fresh rescuer takes over....
Monday, March 2, 2015

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Q: Risk of Propofol infusion syndrome is high when used with following drugs in ICU? A) Steroids B) Epin...
Sunday, March 1, 2015

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Propofol-Warfarin Interaction usually get ignored in ICU Intravenous lipids are often required for parenteral nutrition ( PN) suppo...
Saturday, February 28, 2015

Amiodarone induced thyroid problems

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Q:   Amiodarone causes thyroid problems because? A) It resembles thyroxine B) It contains high amount of Iodine C) Both A and...
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