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management sarscov2 diagnosis icu intubation admissions admitting algorithm cardiff crisis daily endocarditis hypokalemia jehovahs lung myastheniagravis myasthenic nursing patient pearls
Diagnostic approach to the admitted patient with possible COVID-19 Initial evaluation - Chest X-ray - Lung ultrasound (thorough "lawn-mower"
with possible COVID ... diagnostics as clinically ... indicated (e.g. ... echocardiogram, EKG ... Diagnosis #SARSCoV2 #Coronavirus
Cardiff COVID-19 Daily checklist - Matt Morgan A daily checklist for critically ill #covid19 patients. Concentrates on
Daily checklist ... Is Norad > 0.5 mcg ... /kg/min? ... #criticalcare # ... management #Cardiff #Coronavirus
COVID-19 Lung POCUS Pt with COVID admitted with nearly normal EF, troponin increase with repeat normal ECG
COVID-19 Lung POCUS ... Pt with COVID ... repeat normal ECG ... #POCUS #Clinical ... Ultrasound #SARSCoV2 #Coronavirus
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 Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
COVID-19 Patient Intubation Checklist and Supplies Intubation Equipment List • Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient ... Emergency drugs e.g ... and equipment e.g ... #Supplies #CriticalCare ... #SARSCoV2 #Coronavirus
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... Hypokalemia #Management #CriticalCare
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... dose paralytic (e.g ... SARSCoV2 #Management #CriticalCare ... #Coronavirus
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
early & document (e.g ... limit to mission-critical ... hemostatic agents (e.g ... twitter.com/PulmCrit #Checklist ... #patient #ICU #CriticalCare
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... differential - Beta-HCG ... oral secretions (e.g ... (vital signs, clinical ... #Management #CriticalCare
Post Proning Nursing Checklist Head/Face: - Check ETT/tracheostomy is accessible/not kinked (ETT cm at teeth …..)
Proning Nursing Checklist ... compression over elbows ... lines patent - ECG ... Proning #Nursing #Checklist ... #Post #Prone #CriticalCare
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