13 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... • Hypoxia • Pulmonary ... hypertension Management ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... atrial flutter or MAT ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Organ failure — device ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Oxygen Delivery Devices ... loose fitting & may ... tight-fitting mask (e.g ... #management #pulmonary ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
cultures (three sets at ... three different ... endocarditis w/ septic pulmonary ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
style mask → try a different ... Difficulty tolerating forced ... mask up to face at ... Troubleshooting #Tips #management ... #problems #pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #cardiology #treatment ... #table #foamed ... #heartfailure #chf ... #criticalcare #
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
Baby Lungs” with different ... ARDS where 6 ml/kg ... pathophysiology #diagnosis #management ... #ards #foamed # ... criticalcare #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... disease b) CHF ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management