1038 results
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
Elevation == Decreased ... Asplenia Laboratory Interference ... Reduction == Increase ... HgbA1c #Laboratory #Increase ... #Decrease #Diagnosis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
larger VT and decreases ... In CHF, decreases ... In COPD, decreases ... Cannot tolerate decreased ... #indications #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
• alpha 1 • Increase ... • Inotropy > Increase ... • Inotropy, Decrease ... • Inotropy, Decrease ... Pressors #Inotropes #criticalcare
COMMONLY ENCOUNTERED MEDICATIONS THAT INCREASE OR DECREASE WARFARIN’S INTERNATIONAL NORMALIZED RATIO (INR)

#Pharmacology #Warfarin #Medications #Interactions #INR
MEDICATIONS THAT INCREASE ... OR DECREASE WARFARIN ... INR #Increases #Decreases
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Decrease airway ... (Tflow rate = decrease ... I:E ratio, decrease ... RR) • Decrease ... diagnosis #management #criticalcare
Diastolic Dysfunction Grading - Echocardiography
Grade 0  (Normal):
 • E/A >0.8, e’ > 8 cm/s, E/e’
Impaired Relaxation & Decreased ... Compliance • Mild Decrease ... /e’ 8 - 15 • Increase ... Filling • Moderate Decrease ... enlargement • Severe Decrease
Capnography Waveforms
Sudden loss of waveform
 • ET tube disconnected, dislodged, kinked or obstructec
 • Loss of
10mmHg Sudden increase ... Hyperventilation Decreased ... #Diagnosis #CriticalCare
Conceptual Relationship between Volume Responsiveness and Volume Tolerance

Assessing for volume responsiveness would only tell you that
there would be an increase ... "Left Shift" (Decreased ... glycocalyx damage -decreased ... oncotic pressure -decreased ... Pathophysiology #CriticalCare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
- Cardiogenic (Decreased ... Classification #Table #CriticalCare
Medications for High-Altitude Sickness 
Acetazolarnide 
 • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Dexamethasone • Decrease ... vasogenic edema • Decrease ... Nifedipine • Decreases