13 results
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
tool to assess level ... Propofol infusion ... it should not cause ... #PAD #ICU #CriticalCare ... #diagnosis #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... no respiratory cause ... anion-gap metabolic acidosis ... Pulmonary edema, Shock ... 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
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
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
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
may help reduce acidosis ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... #Diagnosis #Management
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
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... for hemoglobin level ... #Shock #Management ... #CriticalCare