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treatment differential icu table algorithm checklist classification foamed types admissions admitting agitation bpap cardiology challenges chf clinical cpap crystalloids delirium
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison
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 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
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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... • Hypovolemic shock ... Diuresis #Nephrology #Pharmacology
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