Adult Critical Care Specialty (ACCS) Practice Exam

Which of the following home medications is NOT typically associated with septic shock management?

1. Memantine

2. Furosemide

3. Insulin

4. Aspirin

The correct answer is: Insulin

In the context of septic shock management, it's important to understand the typical therapeutic interventions and the purpose of various medications. Insulin is primarily utilized for managing glucose levels in diabetic patients, especially in cases where hyperglycemia occurs, but it does not play a direct role in the treatment of septic shock itself. The primary management of septic shock focuses on volume resuscitation, vasopressor support, and broad-spectrum antibiotics, none of which involve the use of insulin as a standard intervention. On the other hand, furosemide may be administered in specific scenarios, such as fluid overload, where diuresis can relieve symptoms and enhance respiratory function. Aspirin may be used for its antipyretic and anti-inflammatory properties in patients with septic conditions, though it is not a front-line therapy. Memantine, while typically used for Alzheimer's treatment, does not have a known association with the management of septic shock, but may not necessarily contraindicate treatment. Understanding these medications’ roles highlights why insulin is typically not involved in septic shock management compared to the others, which are either more relevant or may be used based on specific indications within the scope of critical care.