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algorithm checklist covid19 diagnosis hypoxia nippv noninvasive respiratory schema support admissions admitting bilevel bipap bpap coronavirus cpap differential hfnc highflow
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... Internet Book of Critical ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... patient's diagnosis (e.g ... pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
dose paralytic (e.g ... cuff prior to ventilation ... Internet Book of Critical ... Intubation #Checklist #SARSCoV2 ... #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... status • Won't Work ... hair) • Risk Of Clinical ... #indications #criticalcare ... #management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
- Myocardial ischemia ... incongruous with clinical ... - Severe renal failure ... #Hypokalemia #Management ... #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... , esp in work-up ... /management of shock ... will also get an EKG ... #criticalcare
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ensure adequate ventilation ... Ameliorate increased work ... #Shock #Management ... #CriticalCare
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... differential #diagnosis #management
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