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Current guidelines for outpatient treatment of Community Acquired Pnemonia (CAP)

#Management #Outpatient #CAP #Community #Acquired #Pneumonia #Antibiotics
treatment of Community Acquired ... Pnemonia (CAP) ... #Management #Outpatient ... #CAP #Community ... #Acquired #Pneumonia
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Framework BRADI Mnemonic ... blocking agent • Shock ... Spondylarthropathies Other causes ... differential #diagnosis #causes ... cardiology #BRADI #Mnemonic
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... - Indication: Can
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... /cGMP • Causes ... Pharmacology #Summary #management
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Syndrome B - Bradycardia ... blockade S - Shock ... flattening of P waves (Bradycardia ... saline) • If on a Ca2 ... Syndrome #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... SHOCK • Ensure ... • Consider intraaortic ... #Shock #Management
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
piperacillin-tazobactam Septic Shock ... only in selected cases ... #Community #Acquired ... #Pneumonia #CAP ... Antibiotics #Coverage #Management
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• Everyone who can ... Regadenoson) - ↑ cAMP ... production to cause ... Contraindications: - Bradycardia ... Testing #cardiology #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... Labs show anion-gap ... Pulmonary edema, Shock ... Labs: Anion-Gap
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
• Initial Management ... • Definitive management ... Syndrome • Syndrome caused ... • Management: ... characterised by bradycardia