1. potpurri
Mostly
Sepsis
Heart
felt
Itchy &
Scratchy
Neuro
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2. What is SmvO2

3. Mixed venous oxygen saturation
Tells us how much oxygen is being extracted by the tissues
Normal is 75%
Body is failing to compensate if value is 50%

4. What percentage of patients with hypovolemic shock will have paradoxical bradycardia?

5. 30%

6. What about the physiology of shock, especially sepsis, may diminish the intravascular staying power of colloids?

7. Increased capillary permeability may allow leakage of these larger particles

8. What is the role of glucose control in sepsis

9. Hyperglycemia associated with poorer outcome
Maintain tight control at

10. Music trivia 4

11. James Brown
Soulful Christmas

12. What’s the first-line inotrope in Sepsis?

13. Dopamine

14. What inotropic agent should be added if dopamine is inadequate in sepsis?

15. norepinephrine

16. What empiric antibiotics should be chosen for septic children < 3 months of age (non-neutropenic)?

17. Cefotaxime for everyone Add ampicillin in < 4 weeks

18. What guide should be used for platelet transfusions in DIC?

19. Keep platelets > 50,000

20. When should steroids be administered to a septic patient?

21. Suspected or documented adrenal insufficiency

22. Music Trivia 5

24. What is the median time from the onset of infarction to the development of cardiogenic shock?

25. 8 hours

26. What is the major determinant of cardiogenic shock in RV infarction?

27. LV dysfunction

28. What is the overall incidence of cardiogenic shock in AMI?

29. 6-8 % (constant from 1975 to 1997)

30. Music Trivia 6

32. What is an anaphylactoid reaction?

33. Clinically indistinguishable from anaphylaxis reactions
Not IgE mediated
Do Not require a prior sensitizing exposure

34. Which patients are at a greater risk for a severe anaphylaxtic reaction, asthmatic, or atopic patients?

35. Poorly controlled asthmatics, atopy does not increase the risk

36. In a patient with cardiovascular collapse, how should epinephrine be administered?

37. 0.1 mL or 1:1000 mixed with 10 ML Saline, over 5-10 minutes
0.1 mg IV, 1:100,000 dilution
0.1 mL or 1:1000 mixed with 10 ML Saline, over 5-10 minutes

38. How is epinephrine given for a patient with less severe anaphylaxis?

39. Thigh better than deltoid
0.3 – 0.5 IM
Thigh better than deltoid

40. Music Trivia 7

41. I’ll be home for Christmas
Sarah Mclauchlan
I’ll be home for Christmas

42. What is spinal shock?

43. Temporary loss of spinal reflexes that occurs below a total or near total cord injury

44. Why does atropine help with bradycardia in neurogenic shock?

45. It inhibits the vagal tone

47. Loss of sympathetic outflow has what effect on body temperature?

48. May lead to hypothermia from peripheral vasodilation

49. What is the mechanism behind neurogenic shock?

50. Disruption of sympathetic outflow, leading to unopposed vagal stimuli