12 results
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... common in OR; in MICU ... , HOCM, etc ... #management #criticalcare ... summary #comparison #table
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... 2) Subsequent ICU ... #Shock #Algorithm ... #CriticalCare # ... Peds #Pediatrics
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
: HR > 180bpm ECG ... AP Stable? ... Maneuvers - Ice ... Signs of shock or ... #Algorithm #peds
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... of shock MICRO ... will also get an EKG ... diagnosis #workup #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... vasopressor or inotropic ... #Shock #Management ... #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... patients need inotrope ... #differential #algorithm ... #treatment #table ... #icu #clinical
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
changes (especially QT ... incongruous with clinical ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Pts: cardiogenic shock ... Delivery • Stable ... Avoid ARBs • ICD ... therapy, including inotropes ... teratogenic GDMT meds
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... Cataract Plan for Meds ... medical and surgical management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Lipase, CK • ECG ... Cardiac Surgeon and ICU ... CPR • Max 3 shocks ... Hypothermia #Protocol #management ... #treatment #algorithm