9 results
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... /hypoxemia/Sepsis ... circulation If ... Causes of Lactate ... syndrome - Sepsis
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
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... ) or septic shock ... Discuss ongoing management ... Checklist #Diagnosis #Management ... #Workup
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
organ dysfunction caused ... SHOCK is a subset ... shock are identified ... Serum lactate >2 ... #QSOFA #SIRS #criticalcare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... no respiratory cause ... seems like DKA, sepsis ... Pulmonary edema, Shock ... Alkalosis, High Lactate
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... SEPTIC SHOCK • ... for hemoglobin level ... #Shock #Management ... #CriticalCare
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
- Doxycycline if ... azithromycin Beta-lactam ... piperacillin-tazobactam Septic ... Shock Structural ... Antibiotics #Coverage #Management
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
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