17 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... course • Adjust antibiotics ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... Eg: C. burnetii ... Mycobacterial etc ... BloodCultures #Diagnosis #Management
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
general, we expand antibiotics ... clinical response (e.g ... support switching antibiotics ... drug reaction, etc ... #EBM #ID #Management
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
Coverage of common antibiotics ... prior resistance. e.g ... ESBL, KPC, VRE. etc ... ampicillin #management ... infectiousdisease #antibiotics
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... to prevent endocarditis ... prosthetic valve etc ... #Indications #Gastroenterology ... #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... subjective dyspnea, etc ... main ones) - Antibiotics ... MyastheniaGravis #Checklist ... #Management #CriticalCare
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Guidelines 1) Antibiotics ... Echinocandins (e.g ... clinical concern for endocarditis ... IDSA #Guidelines #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... changes (especially QT ... Critical Care #Checklist ... #Hypokalemia #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... ↑ ESR, CRP • EKG ... • IV Antibiotics ... #Endocarditis ... #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... #ICU #Pearls #Checklist