14 results
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
blood flow to the lungs ... heart to improve pulmonary ... it most, even if ... #Management #Peds ... #Pediatrics #CHD
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... and/or digoxin level ... 1 — Treat the lungs ... congestion (no B-lines ... #Checklist #CHF
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... In CHF, decreases ... mortality BPAP - Bi-Level ... exacerbation (cardiogenic pulmonary ... #criticalcare #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... cuffing, Kerley B lines ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
6th decades of life ... cough, dyspnea, fever ... pattern, irregular lines ... Pneumonia #COP #BOOP #pulmonary ... ILD #diagnosis #management
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
COPD Management ... their dyspnea level ... GOLD2019 #Guidelines #Management ... #Pulmonary #Algorithm ... #pharmacology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Increased protein level ... normal glucose level ... change in the lungs ... nails, bronchi, lungs ... Fungal #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... disease b) CHF ... unless prior heart/lung ... medical and surgical management
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
thrombocytopenia, may be life-threatening ... Related Acute Lung ... patients with CHF ... Citrate in RBCs binds ... Transfusion #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... edema (“B-lines ... differential #algorithm #management ... #heartfailure #chf ... icu #clinical #pharmacology