A 68-year-old male presents with sepsis secondary to pneumonia. His blood pressure is 88/52 mmHg, heart rate 118 bpm, and lactate 4.2 mmol/L. According to the Surviving Sepsis Campaign guidelines, what is the recommended initial fluid resuscitation volume?
Bcccp Clinical Knowledge
Question · Easy
Two exes, two antidotes
Short
A patient meets 2 of: temp >38C or <36C, HR >90, RR >20, WBC >12,000 or <4,000. What syndrome is this?
Critical Illness Concepts
Flashcard
A patient with septic shock remains hypotensive (MAP 58 mmHg) despite receiving 30 mL/kg of crystalloid. According to guidelines, what is the next appropriate step?
Chapter 1: Pathophysiology and Recognition of Critical Illness
1.1 Pathophysiology of Shock and Sepsis
Study guide
Cheat sheet
Which of the following antibiotics provides adequate coverage for Pseudomonas aeruginosa in a patient with hospital-acquired sepsis?
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Under Sepsis-3 definitions, what distinguishes septic shock from sepsis?
A patient with septic shock has received appropriate fluid resuscitation and norepinephrine at 0.5 mcg/kg/min, but MAP remains <65 mmHg. What is the most appropriate next step?
What is the target lactate threshold that should prompt resuscitation efforts according to the Surviving Sepsis Campaign?
What are the Berlin criteria severity cutoffs for ARDS based on P/F ratio?
Which of the following is a relative contraindication to the use of corticosteroids in septic shock?
1.2 Respiratory Failure and ARDS Pathophysiology
A patient with community-acquired pneumonia and septic shock has no known drug allergies. Which empiric antibiotic regimen is most appropriate?
Name the four major shock categories by mechanism.
According to the Surviving Sepsis Campaign, what is the recommended time frame for administration of effective IV antimicrobials in septic shock?
A patient in septic shock is receiving norepinephrine 0.2 mcg/kg/min. Their ScvO2 (central venous oxygen saturation) is 58%. What does this indicate?
What is PICS and why does it matter after an ICU stay?
Which fluid is preferred for initial resuscitation in sepsis according to current guidelines?
1.3 ICU-Acquired Weakness and Post-Intensive Care Syndrome
What is the recommended target tidal volume for a patient with ARDS undergoing mechanical ventilation?
What two conditions make up ICU-acquired weakness (ICU-AW)?
According to the ARDSNet protocol, what is the target plateau pressure (Pplat) for patients with ARDS?
A patient with ARDS has a PaO2 of 58 mmHg on FiO2 0.6 and PEEP 10 cm H2O. What is the PaO2/FiO2 ratio and what does it indicate?
Define MODS.
Which neuromuscular blocking agent is preferred for ARDS patients requiring neuromuscular blockade to facilitate protective ventilation?
1.4 Chronic Disease States and Risk Factors for Critical Illness
What is the recommended initial PEEP setting for a patient with moderate ARDS receiving mechanical ventilation?
How does an intra-aortic balloon pump (IABP) support the failing heart?
Devices & Hemodynamic Monitoring
A patient with severe ARDS (PaO2/FiO2 85) is on high PEEP (14 cm H2O) and FiO2 0.9, but remains hypoxemic. They are already receiving neuromuscular blockade. What is the next step according to evidence-based practice?
Question · Medium
Which of the following is a contraindication to prone positioning in a patient with ARDS?
VA ECMO vs VV ECMO: what is the key clinical distinction?
A patient with ARDS has the following arterial blood gas on ventilator settings of tidal volume 400 mL, rate 28, PEEP 12, FiO2 0.7: pH 7.28, PaCO2 58 mmHg, PaO2 68 mmHg, HCO3 26 mEq/L. What is the most appropriate ventilator adjustment?
Chapter 2: Medical Devices and Circulatory Support
2.1 Hemodynamic Monitoring and Interpretation
In a patient with ARDS receiving neuromuscular blockade with cisatracurium, what is the recommended monitoring strategy?
When is CRRT preferred over intermittent hemodialysis (IHD) in the ICU?
A patient with severe ARDS is failing conventional ventilation. ECMO is being considered. What PaO2/FiO2 threshold and duration typically triggers consideration of venovenous ECMO in refractory hypoxemia?
Which analgesic is preferred as the first-line agent for pain management in mechanically ventilated ICU patients?
CVP vs PAOP: which side of the heart does each reflect?
A patient on mechanical ventilation has an RASS score of -4. What is the clinical interpretation?
2.2 Mechanical Circulatory Support
According to the 2018 PADIS guidelines, what is the recommended sedation strategy for mechanically ventilated adult ICU patients?
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