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Pre-Op Nutrition in IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PreOp #Preoperative #Nutrition #IBDAlgorithm #IBD #Algorithm #gastroenterology
Pre-Op Nutrition ... in IBD - IBD Algorithm ... @wabillin #PreOp ... #Algorithm #gastroenterology ... #management
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... identify sick pts ... needing emergent ... #CriticalCare #Shock ... Crashing #Diagnosis #Protocol
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
PRE-SHOCK - Compensated ... end-organ damage, multisystem ... Hemorrhagic → leading ... gastrointestinal bleeding ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
PRE-SHOCK - Compensated ... end-organ damage, multisystem ... Hemorrhagic → leading ... gastrointestinal bleeding ... types #diagnosis #management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
of hospitalized pts ... Toxic Megacolon, Shock ... immunocompromised, IBD ... Ileus, Megacolon, Shock ... mg PO qd - If needing
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
- Hemorrhagic shock ... a late sign of shock ... massive transfusion protocol ... signs Neurogenic shock ... Survey #CABCDE #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
: cardiogenic shock ... Management during ... Management during ... Period • Breast-feeding ... Avoid ARBs • ICD
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... Preop creatinine ... event, follow ACC algorithm ... - what is the bleeding ... medical and surgical management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... Endoscopy #diagnosis #management ... #algorithm