25 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
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology #Comparison #Table ... Loop #Thiazide #CHF ... #Cardiology #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
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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... • Neoplasm Pulmonary ... Interstitium • ILD • CHF ... • Sarcoidosis Pulmonary ... Vessels • Pulmonary
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
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
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
factors: Age>60, CKD ... , CHF, high rate ... , and CXR with pulmonary ... diagnosis #comparison #table