11 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Severe Asthma Exacerbation ... Signs of a Severe Asthma ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... controlled oxygen therapy ... #Noninvasive #Ventilation ... BiPAP #Algorithm #criticalcare ... #management #indications
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Therapy - Stepwise ... nonpharmacologic management ... before increasing medication ... #Management #Pharmacology ... #Pulmonary
Biologic therapy for eosinophilic asthma 
• Mepolizumab (Nucala) 
  • Anti-lL-5, 100 mg SQ q4
Biologic therapy ... for eosinophilic asthma ... #Biologic #therapy ... #Medications #pharmacology ... #pulmonary #management
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g. asthma ... maneuver on the ventilator ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... #criticalcare # ... management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Laryngitis • Asthma ... Failure of optimal therapy ... Desire to stop medication ... Disease #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ensure adequate ventilation ... pressure (PEEP) for pulmonary ... antimicrobial therapy ... #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
framework to guide therapy ... with presence of pulmonary ... differential #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... Pager Summary Indications ... Fluid Overload (pulmonary ... liberation from ventilation ... #RRT #managment