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DF is a 32-year-old female (100 kg) who is brought into the emergency department after slipping on her icy driveway and hitting her head.  She is currently confused, only answering “yes” or “no” to questions and complaining of a severe headache.  She is known to be dialysis-dependent and has a mechanical valve for which she is on warfarin.  Her INR on admit is 2.5, and her blood pressure is 216/128 mmHg.  Her pregnancy test is currently pending.  A head CT shows a large subdural hematoma and a smaller subarachnoid hemorrhage, with brain swelling.  A peripheral line is placed for medication administration.    Use Case 2 for questions 37-47

PJ is syncing much better with the ventilator after the paralytic is started.  Six hours after the paralytic was started, the team asks the nurse to measure a train-of-four, which is 0/4.  What do you recommend?

This 2024 Society of Critical Care Medicine Guidelines on Glycemic control recommends initiating insulin therapy when blood glucose is:

What lab(s) should be drawn to diagnose septic shock? 

Which of the following was an outcome of the ProMISe trial?

Should the patient’s sedation and pain management plan be changed now that paralytics are going to start?

START OF MATH QUESTIONS. This is the beginning of the questions for your final exam.

Listed are several rapid sequence intubation (RSI) medications and potential effects or limitations to use.  Which of the following RSI drugs is matched correctly with its potential unique side effect?

The team decides to cover for pneumonia in PJ by adding vancomycin and piperacillin-tazobactam.  With regards to vancomycin, how would you approach dosing initially?

Instructions:Upload your PDF file by dropping it in the “Additional Content” section below the last question.Once uploaded, answer the Yes/No question below and proceed to next question.DO NOT SUBMIT OR CLOSE YOUR TEST before answering all the questions.Question:I have successfully uploaded my PDF file below.