13 results
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... - Differential Diagnosis ... Cardiogenic & Septic Shock ... Beta-Agonists, ↑ work ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... circulation If ... laboratory or diagnostic ... output - Acute pulmonary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... ) • Elevated lactate ... Setup - Ultrasound ... #Diagnosis #Management ... #Summary #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... tests if shock ... and/or digoxin level ... (no B-lines on ultrasound
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... Consider if: ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Alkalosis, High Lactate
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... - Calcium level ... as for septic shock ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #Shock #Management ... #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
/management of shock ... bedside echo is never ... scenario): • Lactate ... Pearls #Checklist #diagnosis ... #workup #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
elevates the stress level ... hormones that work ... But we also have Lactic ... #diagnosis #differential ... #algorithm #management