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ANTIBIOTIC SUSCEPTIBILITIES IN INTENSIVE CARE

Antibiotic spectra made simple(r). Version 2, now updated with new bugs &
Antibiotic spectra ... 20Summary.pdf #Antibiogram ... Classes #Bacterial #Spectra ... #Spectrum #Coverage ... Susceptibilities #ICU #CriticalCare
For my UME micro course, I made a figure that captures this terminology and lets learners
‘broaden’ this coverage ... holes” in their coverage ... #antibiotics #coverage ... #antibiogram #pharmacology ... #table #sensitivities
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Severe heart failure ... Classification #Table ... #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Presentation in septic shock ... yes → Broad-spectrum ... coverage (Piperacillin ... dysfunction or liver failure
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... heart failure ... tachycardia #Management #Algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... clinica l#foamed #algorithm ... #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... #diagnosis #algorithm ... management #clinical #criticalcare