8 results
Lactic Acidosis - Differential Diagnosis Framework

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

The most common causes of hyperlactatemia are usually:
Elevation, Lactic ... /hypoxemia/Sepsis ... / hypoxemia -> focus ... circulation If ... syndrome - Sepsis
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... shock persists. ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... seems like DKA, sepsis ... Pulmonary edema, Shock ... Alkalosis, High Lactate ... Toxic Salicylate Level
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
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
azithromycin Beta-lactam ... piperacillin-tazobactam Septic ... Shock Structural ... Acquired #Pneumonia #CAP ... Antibiotics #Coverage #Management
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
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 ... convert Pyruvate to Lactate ... #treatment #criticalcare