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acidosis admissions admitting causes classification differential elevation endocarditis evaluation lactic management pearls perioperative preop preoperative risk stratification typea typeb workup
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
if suspected (e.g ... • Persistent fever ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... will also get an EKG ... scenario): • Lactate ... #diagnosis #workup ... #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... / hypoxemia -> focus ... assessment - assess
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... or upper abdominal ... stratification #diagnosis
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