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diagnosis management acidosis cardiology causes classification lactic treatment admissions admitting algorithm bradi bradycardia cardiogenic chf crisis delirium elevation endocarditis evaluation
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... malperfusion - Lactate ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Diagnosis #criticalcare
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential ... malperfusion • Lactate ... Insufficiency, Liver ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
) • Elevated lactate ... Establish IV/IO Access ... Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... - CBC with differential ... tox/infectious workup ... of infection (fever ... #MICU #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic Shock ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... #Diagnosis #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- Management Checklist ... - Troponin, Lactate ... and/or digoxin level ... (no B-lines on ultrasound ... #Checklist #CHF
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... • Myocardial abscess ... • Persistent fever ... #criticalcare #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... undifferentiated shock ... assessment - assess ... output - Acute pulmonary ... Acidosis #Elevation #Differential
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
blocking agent • Shock ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... /management of shock ... bedside echo is never ... scenario): • Lactate ... #criticalcare
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