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management diagnosis differential treatment pharmacology covid19 hypoxia respiratory schema shock support vasopressors activity bilevel bipap cardiology causes chf classification clinical
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... shock or heart failure ... tachycardia #Management #Algorithm
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... Extra-cardiac pump failure ... Differential #Diagnosis #table ... #comparison #criticalcare
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
stenosis • Hypertrophic ... Medication side effect (e.g ... - Autonomic failure ... Medication side effect (e.g ... Classification #Table
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... low flow oxygen (e.g ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
patient's diagnosis (e.g ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
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 Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver Failure ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
hypertension (e.g ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
volumes of ~6 cc/kg ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Vasopressor Receptor Activities alpha - beta1 - beta2 - DA - Vasopressin Dopamine (ug/kg/min) Epinephrine (ug/kg/min) Norepinqhrine (ug/min) Phenylephrine (ug/min) Vasopressin (units/min) #Vasopressors
Dopamine (ug/kg ... Epinephrine (ug/kg ... #pharmacology #comparison ... #table #activity ... #criticalcare
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