Health Care > EXAM > Acute Care Final Exam 2022/2023 with 100% correct answers (All)

Acute Care Final Exam 2022/2023 with 100% correct answers

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What are 2 major risk factors for stress ulcers? correct answer1. Mechanical ventilation for greater than 48 hours 2. Coagulopathy What's standard initial empiric therapy for HAP/VAP/HCAP correct answerCombination antibiotic therapy What is recommended intitial empiric therapy for treatment of candida glabrata infections? correct answerEchinocandin When should you narrow antibiotic treatment? correct answerBased off culture susceptibility reports What are the 4 FDA approved indications for recombinant Factor VIIa in blunt force trauma? correct answer1. Hemophilia A and B with indicators 2. Congenital FVII deficiency 3. Glanzmann thromboasthenia 4. Acquired hemophilia bleeding What is the off label use for recombinant Factor VIIa in blunt force trauma? correct answerTrauma Does 40,000 U of Epoetin Alfa weekly decrease the amount of RBC transfusions compared to the placebo arm? correct answerNO What are 3 prokinetic options for enteral feeding intolerance in trauma patients and which one is no longer an option? correct answer1. Metoclopramide 2. Erythromycin 3. Cisaparide Cisaparide is no longer an option in the US In the management of deliurium what 2 tools must be used to assess patients at least once every shift? correct answer1. Confusions assessment method for the ICU 2. Intensive care delirium screening checklist In management of delirium what antipsychotic regimen showed improvement? correct answerScheduled quetiapine plus PRN haloperidol Have daily awakenings in mechanically ventilated patients shown any benefit? correct answerNo, no overall clear/conclusive benefit has been shown Should drugs be used to prevent delirium? correct answerNO Does early goal directed therapy (EGDT) offer any survival advantage in patients presenting to the ED with early septic shock? correct answerNO In the ALBIOS trial, did albumin show any significant difference when compared to the crystalloid group? correct answerNO Was there any significant different between linezolid vs vancomycyin for MRSA mortality? correct answerNO In the study comparing linezolid and vanco for treating MRSA, which drug showed more nephrotoxicity? correct answerVancomycin In looking at daily interruption of sedation what was the outcome for duration of mech ventilation and length of ICU stay? correct answerSignificantly decreased for both, but no difference for length of hospital stay Comparing dexmedetomidine vs midazolam or propofol for sedation, what was the primary outcome? correct answerNoninferiority of dexmedetomidine versus standard of care Does the CDC recommend antiviral therapy for severely ill patients with suspected flu after 48 hours? correct answerYES What 2 organizations endorse the use of antiviral therapy in sepsis and hospitalized patients with suspected flu within 48 hours? correct answer1. CDC 2. Surviving Sepsis Campaign What is the first line vasopressor per the 2012 surviving sepsis guidelines? correct answerNorepinephrine What are the 2 first line agents for the emergent treatment of status epilepticus? correct answer1. IV lorazepam 2. IM midazolam What is the first line treatment for antiseizure prophylaxis in traumatic brain injury? correct answerPhenytoin What are the 3 components for the treatment of delirium according to the Society for Critical Care Medicine (SCCM)? correct answer1. Assess 2. Treat 3. Prevent Comparing dopamine

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