12 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
malperfusion - Lactate ... Insufficiency, Liver ... • Obstructive: Pulmonary ... 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 ... Tamponade - Pulmonary ... #Summary #criticalcare
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... circulation If ... output - Acute pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... tests if shock ... and/or digoxin level ... HeartFailure #Cardiology #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Alkalosis, High Lactate ... Toxic Salicylate Level
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
failure, esp in work-up ... /management of shock ... bedside echo is never ... scenario): • Lactate ... #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality BPAP - Bi-Level ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare ... #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
elevates the stress level ... hormones that work ... convert Pyruvate to Lactate ... differential #algorithm #management ... #treatment #criticalcare