10 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large effusion ... (no B-lines on ultrasound ... Revascularization, treatment ... NSAlDs, ACE-inhibitors ... #Checklist #CHF
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... & Dry) is the treatment ... #heartfailure #chf ... #criticalcare #
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... Triggers: ATRA treatment ... HoTN, edema and effusions ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... - shock->treatments ... before beginning treatment ... output - Acute pulmonary ... lactate and can act
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... May have typical HF ... support for patients clinically ... management #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
time for coronary perfusion ... “one size fits all ... echocardiogram #management #clinical ... #criticalcare # ... foamed #treatment
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
preserved despite ↓ perfusion ... Diagnosis (Clinical ... Normal kidney ultrasound ... Treatment Overview ... evaluation essential in all