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diagnosis cardiology treatment clinical differential algorithm checklist pulmonary pocus workup anesthesia anesthesiology icu intraoperative syndrome shock indications airway gastroenterology hypertension
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
wave - due to atrial ... - due to right atrial ... • c wave - caused ... y descent - is caused ... Jugular #Waveforms #JVP
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... table #comparison #criticalcare
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... , Volume Exam (JVP ... CXR, CTA Chest, Echocardiogram ... Workup #diagnosis #Management ... #treatment #criticalcare
Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves • Caused ... by atrial contracting ... dissociation + retrograde atrial ... diagnosis #cardiology #CVP
Ruptured Chordae Tendineae on POCUS Echocardiogram Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Tendineae on POCUS Echocardiogram ... Many underlying causes ... not limited to: MVP ... Tendineae #POCUS #Echocardiogram
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 RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform ... ) or right atrial ... to disorganized atrial ... “cannon waves” caused ... - ‘c’ wave (TV cusps
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
bubbles in right atrium ... saline #flush #Echocardiogram ... POCUS #Clinical #criticalcare
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 Cannon A Waves on Neck Examination Cannon a waves! Notice that it occurs randomly, not predictably w/
block, or, as this case ... for DDI and an atrial ... #PhysicalExam #JVP
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 Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management
FAST HUGS BID - ICU Checklist Mnemonic F - Feeding A - Analgesia S - Sedation T - Thromboprophylaxis H -
Spontaneous Breathing Trial ... Checklist #Mnemonic #management ... #criticalcare
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