2303 results
Clot in Transit on Echocardiogram

46-year-old female presents with bilateral segmental PE. BP 125/80, HR 114, RR
RR 20, 92% RA, lactate ... Echocardiogram #clinical #pocus
Avoiding Large Blood Vessels during Paracentesis on POCUS

Once you find fluid and before you sample, u/s
Paracentesis on POCUS ... hemorrhage if lacerated ... #Paracentesis #POCUS
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... mEq/L • Sodium lactate ... pH of 4-7.5 Lactated ... mEq • Sodium Lactate ... mole/L of sodium lactate
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites on POCUS ... ppx, WBC 12.5, lactate ... POCUS performed ... Complex #Ascites #POCUS
Lactated Ringer's Medication Compatibility
#Pharmacology #LactatedRinger #LR #RingersLactate #IVInfusion #Medication #Compatibility #Table #Nursing
Lactated Ringer's
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... categories Lactate ... The use of lactate ... With ↑ Lactate ... / hypoxemia -> focus
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis
G - Glycols
O - Oxoproline
L - L-Lactate
D - D-Lactate
M
Oxoproline L - L-Lactate ... D - D-Lactate
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
Cyst on Renal POCUS ... Cr 0.7 BUN 16 lactate ... Lactate up to 4.0 ... hydronephrosis POCUS ... #Cyst #Renal #POCUS
Crystalloid Compositon - Normal Saline, Lactated Ringers, PlasmaLyte
#Pharmacology #Crystalloids #Contents #Comparison #Table #Normosol #Plasmalyte #LactatedRingers #NormalSaline
Normal Saline, Lactated
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
acetaminophen use L-lactate ... metabolism D-lactate