13 results
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Alveolar Hemorrhage, Lung ... Primary Vascular: Pulmonary ... : 1) Indications ... Intubation 2) Bad Lung ... #pulmonary #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... - 2% risk of ICH ... Treatment #AcutePE #Management ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology ... #indications
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... series with the native ... Indications: • ... cannula • VA: Pulmonary ... Oxygenation #diagnosis #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
scenario / sedation indication ... line non-benzo sedative ... used as first sedative ... #CriticalCare # ... diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic pulmonary ... Pt is DNI with indication ... #criticalcare # ... management
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... (how long on/off ... and hourly net negative ... Bundle #Checklist #CriticalCare ... #Management
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... patients with chronic lung ... thyrotoxicosis • Long-term ... #management #treatment ... #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... have achieved negative ... cardiology #treatment #table ... heartfailure #chf #criticalcare ... #icu #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... the type of and indication ... days before Pulmonary ... unless prior heart/lung ... medical and surgical management