2693 results
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Pathophysiology ICH ... • Spontaneous ICH ... blood volume and ICP ... if needed ICP ... High ICP: 20.
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Care Syndrome (PICS ... ) Symptoms of PICS ... RISK FACTORS - ICU ... screening (CAM-ICU ... #criticalcare #icu
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
-> Low dose ICS ... Med/High dose ICS ... at a low dose ICS ... increase the dose of ICS ... uncontrolled on high dose ICS
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
ICS: inhaled corticosteroids ... long-acting β2-agonists; OCS
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
ICU Hypotension ... RESPONSIVENESS ECHO/POCUS ... MD @vmoitra #ICU
Chart of Inhalers for Asthma and COPD
 - SABA - Short Acting Beta-2 Agonists
 - SAMA
Combination - ICS ... Combination - ICS ... Corticosteroid - ICS ... chart, this one is
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
2019 If Asthma is ... then a low dose ICS ... then step up to ICS ... strength of the ICS ... recommending low dose ICS
Optic Disc Edema

The optic disc is elevated and its surface is covered by cotton wool spots
The optic disc is ... elevated and its ... surface is covered ... Four I's: increased
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
corticosteroid (ICS ... step of therapy is ... overview of what ICS ... Corticosteroid #ICS
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
raised ICP: MAP ... 80 Spontaneous ICH ... raised ICP: MAP ... raised ICP: MAP