13 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Establish IV/IO Access ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... leading to organ failure ... #Comparison #criticalcare ... #diagnosis #classification
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... MI, Acute Heart Failure ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... vascular → RV failure ... from massive pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... causing heart failure ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Endocarditis + Abscess ... #causes #cardiology
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... , esp in work-up ... /management of shock ... Pearls #Checklist #diagnosis ... #workup #criticalcare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
blood, pumping it across ... mixed respiratorv failure ... PE, cardiogenic shock ... #Oxygenation #diagnosis ... #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... status • Won't Work ... trauma, surgery, excess ... #indications #criticalcare ... #management