Critical Care — Flashcards

Flashcard 11: Which scoring (SOFA/qSOFA) is particularly useful in the ICU setting?_____

Answer: SOFA

Flashcard 12: One should consider initiation of _____ as the next best step to improve the patients blood pressure and outcome, in case of catecholamine resistant shock

Answer: hydrocortisone

Flashcard 13: Levels of NT-Pro BNP are usually _____ in severe COVID-19 illness

Answer: elevated

Flashcard 14: As citrate is metabolized to bicarbonate, it is common that patients who require massive transfusion frequently develop a _____

Answer: metabolic alkalosis

Flashcard 15: Is CVP reliable in assessing volume status or left ventricular function?_____

Answer: No

Flashcard 16: Which of the following is used as first line treatment for septic shock?_____

Answer: Crystalloids

Flashcard 17: PA-aO2 gradient >_____ mm Hg is an indication for mechanical ventilation

Answer: 350

Flashcard 18: Prognosis of ARDS is poor with _____% mortality rate

Answer: 40

Flashcard 19: According to the Surviving Sepsis Campaign (classic bundle), the target central venous pressure (CVP) should be _____ mmHg

Answer: 8-12 (12-15 if mechanically ventilated)

Flashcard 20: In patients with neuromuscular disease (e.g., GBS, Myasthenia Gravis), what Vital Capacity (VC) threshold is typically used as an indication for mechanical ventilation?

Answer: < 10–15 mL/kg

Extra: Normal Vital Capacity is approximately 60–70 mL/kg. Indications for mechanical ventilation in neuromuscular respiratory failure (e.g., GBS, Myasthenia Gravis) include: - Vital Capacity (VC) < 15 mL/kg - Maximal Inspiratory Pressure (MIP) < -30 cm H2O - Maximal Expiratory Pressure (MEP) < 40 cm H2O