2705 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.
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
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
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
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
raised ICP: MAP ... 80 Spontaneous ICH ... raised ICP: MAP ... raised ICP: MAP
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
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
further evaluation is ... long-acting β2-agonist; ICS ... GOLD2017 #LAMA #LABA #ICS