20 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... in CHF - Mean airway ... breathing (equal to iPAP-ePAP ... #Titration #CHF ... CongestiveHeartFailure #Management
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
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Bi-level Settings • CHF ... / Pulmonary Edema ... → NiPPV CPAP or ... Respiratory #Failure #management
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
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
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
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... lungs - Consider BiPAP ... in cardiogenic pulmonary ... #Checklist #CHF ... HeartFailure #Cardiology #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