11 results
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Asthma Maintenance ... nonpharmacologic management ... before increasing medication ... Stepwise #Therapy #Management ... #Pharmacology #Pulmonary
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Pharmacotherapy Management ... Gastroenterology ... Pharmacotherapy #medication ... #Management #preoperative ... #gastroenterology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... - Allergies to medications ... murmur 3/6) - Pulmonary ... days before Pulmonary ... medical and surgical management
Biologic therapy for eosinophilic asthma 
• Mepolizumab (Nucala) 
  • Anti-lL-5, 100 mg SQ q4
for eosinophilic asthma ... SQ q4 weeks x3 doses ... Biologic #therapy #Medications ... #pharmacology #pulmonary ... #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... 2 hrs - Low dose ... Treatment #AcutePE #Management ... #CriticalCare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g. asthma ... on ventilator does ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... failure (ie.. asthma ... NIPPV #CPAP #BPAP #indications ... #criticalcare # ... management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - Review of medication ... Q6hr) and pain-dose ... limit them as able ... #CriticalCare
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Laryngitis • Asthma ... Desire to stop medication ... Disease #diagnosis #management ... #Gastroenterology
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... chronic lung such as Asthma ... of or increased doses ... #management #treatment ... #comparison #table