Co clinical pocus - GrepMed

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AFib with RVR on Point of Care Ultrasound (POCUS) - PLAX

POCUS showing us why this pt's

Care Ultrasound (POCUS ... ) - PLAX POCUS ... 180s, but low CO ... #AFib #RVR #POCUS ... #PLAX #clinical

COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore

Consolidations on Lung POCUS ... Doing daily POCUS ... of B lines are co-relate ... Consolidations #COVID19 #clinical ... ultrasound #pulmonary #POCUS

POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT

POCUS - Measuring ... ) x (LVOT VTI) CO ... LVOT VTI) X HR CO ... x HR (bpm) - POCUS ... Cardiac #Output #CO

Shock Classification and Differential Diagnosis
SHOCK
• MAP <65, SBP <90, drop in SBP > 40
•

Distributive: • High CO ... Cardiogenic: • Low CO ... Obstructive: • Low CO ... Hypovolemic: • Low CO

Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
• Hemorrhage, dehydration due

Framework MAP = CO ... third-spacing • ↓ CO ... arrhythmia • ↓ CO ... PE, PAH • ↓ CO ... drugs/toxins • ↑ CO

Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
• Increases BP, SVR
• Risk of reflex bradycardia

Increases BP, SVR, CO ... Increases HR, SVR, CO ... contractility, CO ... • Increases CO

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... around PWD trace CO ... #Measurement #POCUS

Carbon Monoxide Poisoning

Symptoms are non-specific:
- Headache 90%
- Nausea/vomiting 50%
- Vertigo 50%
- Altered

questions: - Co-ocupants ... - Alarm (for CO

Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms
Direct measurements
● Central venous pressure

Cardiac output (CO ... pressure – CVP]/CO ... mean PAp – PCWP]/CO ... /min/m2) (CI = CO

Simplified Vasopressors and Inotropes Comparison Chart
MAP = CO x SVR
Dobutamine - Norepinephrine - Epinephrine - Phenylephrine

Comparison Chart MAP = CO

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