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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
CO / High SVR, JVP ... >8, CVP > 12 ... CO / High SVR, JVP ... >8, CVP > 12 ... < 6, CVP < 8
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Venous Pressure (CVP ... ): Measures CVP ... pressure, similar to CVP ... comparison #challenges #management
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
Positive: JVP > ... , or sustained JVP ... likelihood of CVP ... #PhysicalExam #JVP
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign - JVP ... increase in apparent JVP ... /CVP with inspiration ... Video #Clinical #JVP
CENTRAL VENOUS CATHETER INSERTION - Materials/Supplies Checklist

Also Consider:
 - Ultrasound + Probe Cover
 - Patient Drapes
Drapes - Gown - Cap ... - Tegaderm #Management ... #CVC #CentralLine
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... /CVP In this ... > overestimate JVP ... #PhysicalExam #JVP ... VenousPressure #CVP
Internal Jugular Vein Anatomy on JVP Examination
Where can I find the IJ?
- Look where SCM attaches
Vein Anatomy on JVP ... engorged when CVP ... Vein #Anatomy #JVP
Mechanisms of nephron damage in cardiorenal syndrome
 • Increased renal interstitial pressure
 • Hypoperfusion
 • Reduced
• Increased AVP ... • Increased CVP
Current guidelines for outpatient treatment of Community Acquired Pnemonia (CAP)

#Management #Outpatient #CAP #Community #Acquired #Pneumonia #Antibiotics
Acquired Pnemonia (CAP ... ) #Management ... #Outpatient #CAP