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diagnosis management criticalcare differential sepsis acidosis cardiology chf clinical criteria dengue elevation fever foamed heartfailure hyponatremia hypothermia lactate lactic pharmacology
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• 49 million cases ... NETs), cytokines, complement ... COMMON CAUSES + ... all suspected cases ... , ventilation, ICU
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
organ dysfunction caused ... infection SEPTIC SHOCK ... Patients w/ septic shock ... recognition and treatment ... antibiotics 2 Initial fluid
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... ->treatments include ... fluid administration ... before beginning treatment ... #typea #typeb #classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
needing a little fluid ... essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... #criticalcare #icu
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
dengue severity classification ... Fluid accumulation ... Shock or respiratory ... Shock evidenced ... or ALT > 1000 IU
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
doses - consider ITU ... volume • Offer Fluid ... SIADH — look for cause ... Hyponatremia #Management #algorithm ... #treatment #sodium
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Rapid - Level 1 fluid ... Cardiac Surgeon and ICU ... CPR • Max 3 shocks ... Protocol #management #treatment ... #algorithm
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