27 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Insufficiency, Liver ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... #pharmacology #indications
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Glucose, Salicylate level ... Toxic Salicylate Level
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... - 2% risk of ICH ... Treatment #AcutePE #Management ... #CriticalCare
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
• Drugs • ICP ... Infections BRASH Syndrome ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Heart block Medications
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Cardiogenic & Septic Shock ... Ischemia, Compartment Syndrome ... in Short Bowel Syndrome ... Differential #Diagnosis #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
tool to assess level ... scenario / sedation indication ... Propofol infusion syndrome ... #CriticalCare # ... diagnosis #management
Summary of Infections in which Steroids play a role in treatment
 • TB meningitis
 • TB
Refractory septic shock ... Severe typhoid fever ... • Ramsay Hunt syndrome ... #Steroids #Indications ... #infections #management