16 results
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Echocardiographic Evaluation ... of Pulmonary Hypertension ... for pericardial effusion ... heart disease, shunt ... Shah @HFpEF #Pulmonary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... 1) or anatomic shunt ... Arterial blood gas (ABC ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Right to Left Shunt ... - Anatomic Shunt ... - Physiologic Shunt ... Disease and more • Diffusion
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... ED arrival MSK ... especially with AC ... #Electricity #Evaluation ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... edema - Large effusion ... nitroglycerine infusion ... HeartFailure #Cardiology #Management
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
try a different mask ... tolerating forced air ... noise → check air ... Troubleshooting #Tips #management ... #problems #pulmonary
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Diagnosis and Management ... bolus → 50mcg/hr infusion ... portosystemic shunt ... TIPS • Pre-TIPS evaluation ... Bleeding #Diagnosis #Management
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Nonrebreather Mask ... entrainment of room air ... Venturi Mask (venti-mask ... Delivery #FiO2 #Pulmonary ... Equipment #Devices #Management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... aka Hudson's Mask ... oxygen ambient air ... Delivery #Devices #management ... #pulmonary #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... specific questions to ask ... murmur 3/6) - Pulmonary ... days before Pulmonary ... medical and surgical management