19 results
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
with suspected pulmonary ... CHD, congenital ... thromboembolic pulmonary ... bronchopulmonary dysplasia; CLD ... #Diagnosis #Peds
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Negative Fluid Balance ... Negative Fluid Balance ... REMOVE UNECCESARY MEDS ... aldosterone states (CHF ... #management #criticalcare
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
underlying cause (CHF ... Stress, Nausea, Pulmonary ... , CNS Disease, Meds ... always exclude: CKD
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Bi-level Settings • CHF ... / Pulmonary Edema ... Respiratory #Failure #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF) ... Tachycardia #Treatment #management
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
factors: Age>60, CKD ... , CHF, high rate ... positive fluid balance ... , and CXR with pulmonary
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
Patients with CHD ... heart to improve pulmonary ... #Management #Peds ... #Pediatrics #CHD
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #criticalcare #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... AMS, SOB from CHF ... 2) Give Meds • ... Pads in AP position ... #differential #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... algorithm #treatment #management