29 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
malperfusion - Lactate ... Insufficiency, Liver ... Pneumothorax, Cardiac ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... ) • Elevated lactate ... and Survey 4) Workup ... Cardiac surgery? ... #Summary #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Severe Anemia, Cardiac ... Beta-Agonists, ↑ work ... - Infections (ie ... Differential #Diagnosis #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
as a clinical prognostic ... / hypoxemia -> focus ... circulation If ... perfusion - Cardiac ... failure - Low cardiac
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... /management of shock ... bedside echo is never ... scenario): • Lactate ... #criticalcare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... tests if shock ... and/or digoxin level ... #Checklist #CHF
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... lesions), and cardiac ... #CriticalCare # ... Pediatrics #Sepsis #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
incongruous with clinical ... target potassium level ... patients (including cardiac ... NPO, or profound shock ... #CriticalCare