16 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... #Diagnosis #PACatheter ... #Differential #Table
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... Triggers (EKG, Pressure ... nickmmark #IABP #IntraAortic ... Balloon #Pump #diagnosis ... #management #cardiology
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pressures Normal ... 25, PCWP 8-12, Cardiac ... #Pressures #Wedge ... #Hemodynamics #Cardiology ... #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... uw_IMresidency #Shock ... #Differential #Diagnosis ... #table #comparison
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Catheterization #RHC #PACatheter ... pulmonary #artery #catheter ... #diagnosis #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... drop in arterial pressure ... >10mmHg: • Cardiac ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... blocking agent • Shock ... Raised Intracranial Pressure ... Bradycardia Cardiac ... #causes #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... mean arterial pressure ... Insert urinary catheter ... Consider monitoring cardiac ... Intraoperative #Checklist #Diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
beneficial when required ... 15% increase in cardiac ... Pulse Contour Cardiac ... Pulmonary Artery Catheter ... Tolerance #testing #diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Elevated intraocular pressure ... disequilibrium syndrome • Diagnosis ... • Bleeding • Cardiac ... • Hypovolemic shock ... #Medications #Table