Acute and Critical care medicine

A patient picks up a prescription for an EpiPen for her son. Which of the following ratio strengths is used for epinephrine given by intramuscular administration?

1 : 1,000

A patient arrives at the emergency department blood pressure is low, and he is in shock. Fluid resuscitation will start after a severe MVA. The patient's immediately. Which of the following fluids would be expected to remain in the intravascular space and increase oncotic pressure ? (Select ALL that apply.)

A) Albumin B) Hydroxyethyl starch C) Dextran

A patient has been receiving 4 days worth of propofol for sedation post-traumatic brain injury. Which of the following statements regarding propofol is/are correct? (Select ALL that apply.)

A) Propofol contains calories that must be accounted for in the daily nutrition plan for the patient. B) This patient may be at risk for developing infections. C) This agent is generally shorter-acting than lorazepam. D) Hypotension, apnea and elevated triglycerides are likely side effects.

A patient in the ICU is receiving a dopamine drip at 44 ml/hr. The patient weighs 200 lbs and is receiving the hospital's standard dopamine drip (400 mg/250 mt). What receptor effect should be expected from this dose?

Alpha-1 receptor agonism

A patient is receiving vecuronium for paralysis. Which of the following medications can potentiate the actions of vecuronium?

Aminoglycosides

Hemostatic agents prevent blood loss. Which of the following statements concerning hemostatic agents are correct? (Select ALL that apply.)

C) Recombinant thrombin (Recothrom) is a topical hemostatic agent. D) Tranexamic acid is a hemostatic agent that can be used for heavy menstrual bleeding. E) Hemostatic agents can increase risk of thrombosis.

Which of the following statements is true of colloids and crystallioids?

Colloids are more expensive than crystalloids.

A patient in the OR received succinylcholine for intubation and is currently receiving inhaled isoflurane during surgery. Which rare, but serious, side effect is this patient potentially at risk for?

Malignant hyperthermia

Select the correct generic namė for Levophed.

Norepinephrine

An ICU patient is receiving following statements regarding dexmedetomidine for sedation. Which of the dexmedetomidine is correct?

Patients are arousable and alert upon stimulation when using this agent.

Which of the following medications is a vasopressor?

Phenylephrine

Which of the following statements concerning IVIG is correct?

Thrombosis may occur without other risk factors.

What is the correct rationale for using an inotropic agent in a patient with shock syndrome?

To increase cardiac contraction, in order to increase cardiac output.

A patient in the ICU with shock is receiving a norepinephrine infusion. What is the purpose of using norepinephrine in this setting?

To increase cardiac output, increase blood flow to vital organs, and increase blood pressure