7 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... lung disease (COPD ... ) • Hypoxia ... • Pulmonary hypertension ... #EKG #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... Matthew Ho, MD PhD ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... > 0.5 cc/kg/hr ... algorithm #treatment #management
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
↑ Cardiogenic shock ... Perfusion Pressure COP ... LCWI 3.4-4.2 kg ... physiologic) FVC FEV1 ... Capacity >3.0 L FEV1
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... oliguria (< 0.5 mL/kg ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... oliguria (< 0.5 mL/kg ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... Classification #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... indicated • EKG ... Obtain EKG if: ... medical and surgical management