11 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... disease work up ... - Liver US ... of hypotension, shock ... , sepsis, GIB etc
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
SHOCK is a subset ... shock are identified ... Serum lactate >2 ... #QSOFA #SIRS #criticalcare ... #icu
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
malperfusion - Lactate ... Distributive: Sepsis ... Insufficiency, Liver ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
2) Subsequent ICU ... goals—if shock ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Lactic Acidosis - Differential Diagnosis Framework

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

The most common causes of hyperlactatemia are usually:
glucose by the liver ... /hypoxemia/Sepsis ... contribution of liver ... mellitus/DKA - Liver ... gluconeogenesis Liver
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... /management of shock ... bedside echo is never ... scenario): • Lactate ... #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... , Liver function ... tests if shock ... and/or digoxin level
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Triglyceride level ... - Liver function ... strategy as for septic ... shock (e.g. moderate ... #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... SEPTIC SHOCK • ... for hemoglobin level ... #Shock #Management ... #CriticalCare