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diagnosis management criticalcare anesthesia anesthesiology intraoperative cardiology differential icu tamponade treatment acidosis admissions admitting algorithm anaphylaxis arrest causes chf classification
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... Cardiac surgery?
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... patients (including cardiac ... NPO, or profound shock
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... /management of shock ... will also get an EKG ... #ICU #Pearls #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... - Cardiac arrest ... failure - Low cardiac ... output - Acute pulmonary
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - A4C ... K 5.9 without EKG ... #Cardiac #Tamponade ... #A4C #clinical
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... with presence of pulmonary ... ECG is vital while ... essentially Cardiogenic Shock ... Cardiac cath if
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... DP-PCWP Coronary Perfusion ... -4.2 kg*m/m2 CI
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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