10 results
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Cardiogenic & Septic Shock ... Drugs/Toxins: - Propofol ... - Infections (ie ... Differential #Diagnosis #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic Acidosis ... undifferentiated shock ... / hypoxemia -> focus ... circulation If ... - Cyanide - Propofol
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... anion-gap metabolic acidosis ... Pulmonary edema, Shock ... Alkalosis, High Lactate ... Toxic Salicylate Level
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
tool to assess level ... Non-Benzos): • Propofol ... Propofol infusion ... #PAD #ICU #CriticalCare ... #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... tests if shock ... and/or digoxin level ... #Checklist #CHF
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... esp in work-up/management ... of shock MICRO ... scenario): • Lactate ... diagnosis #workup #criticalcare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... target potassium level ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
Ketosis (SK), acidosis ... elevates the stress level ... convert Pyruvate to Lactate ... differential #algorithm #management ... #treatment #criticalcare
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Severe Influenza Checklist ... - Ferritin, liver ... fiQT) - Beta-lactam ... #Influenza #Checklist ... #Management #CriticalCare