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Key Antibiotics in the ICU

- Dr. Josh Farkas @PulmCrit

#Antibiotics #ICU #CriticalCare #Antibiogram #Pharmacology #Management #sensitivities
Antibiotics #ICU #CriticalCare ... #Antibiogram #Pharmacology ... #Management #sensitivities
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
prior resistance. e.g ... ESBL, KPC, VRE. etc ... ampicillin #management ... antibiotics #coverage #antibiogram ... #pharmacology
Intern Pocket Cards - Antibiogram and Susceptibilities
VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES -
(e.g., UTI, bacteremia ... , etc.) ... (Use clinical data ... #antibiotics #management ... #pharmacology
Antibiotics for Intraabdominal Infection. 
Use your local antimicrobial susceptibility data for selecting the best empiric treatment!
AAST 2021 global clinical ... intraabdominal #antibiogram ... infectiousdiseases #management ... #pharmacology #
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
, overfeeding, etc ... long lasting pain meds ... Algorithm #Extubation #CriticalCare ... #Management
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Scale Exposure - e.g ... Coma #Pediatrics #Peds ... #ABCs #CriticalCare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Dobutamine 2-20 mcg ... Epinephrine 0-20 mcg ... Internet Book of Critical ... Properties #Table #Pharmacology ... #Effect #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... • Aggressive management ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... Shock #Algorithm #CriticalCare ... #Peds #Pediatrics ... #Sepsis #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
changes (especially QT ... incongruous with clinical ... Internet Book of Critical ... #Hypokalemia #Management ... #CriticalCare