20 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Decompensated CHF ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... mortality BPAP - Bi-Level ... status • Won't Work ... #indications #criticalcare ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Troponin, Lactate, Liver ... and/or digoxin level ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for hemoglobin level ... If volume restoration ... #Shock #Management ... #CriticalCare
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... for admission (if ... different) PMHx: - Focus ... disease work up ... of hypotension, shock
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
removed in septic shock ... of IV therapy if ... - No fever ... Bacteremia #Treatment #Management ... #Duration #infectiousdiseases
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... history Initial Work-up ... bedside echo is never ... #criticalcare
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
- Can involve liver ... Urine & Blood & CSF ... Puncture only if ... Coccidioides #Diagnosis #workup ... #infectiousdiseases
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... - Infections (ie ... Differential #Diagnosis #criticalcare