8 results
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... Algorithm Suspected ... ±AKI Initial labs ... hemosiderin • PT/aPTT normal ... #Diagnosis #Management
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist
Overnight Events:
 - Night float signout, nursing notes
Interdisciplinary
(min and max) values ... Weight trends Labs ... yourself - Note if interpretation ... (MAR): - IV fluids ... PreRounding #Checklist #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Fluid Responsiveness ... PCWP approximates LAP ... PPV, absolute values ... #criticalcare #comparison ... #challenges #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
breath sounds • Rales ... CXR upright or lat ... decubitus - air fluid ... - Switch to oral ... Lung Abscess Differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... is vital while lab ... needing a little fluid ... #diagnosis #differential ... #algorithm #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Diagnosis: • Labs ... initiation • Differential ... 500 mg QD until normal ... : Diuresis for fluid ... APML #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
any evidence of fluid ... neuroexam - Oral ... event, follow ACC algorithm ... Determine if any labs ... medical and surgical management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Mg, P04, LFTs, alb ... Rapid - Level 1 fluid ... Slow - Hot Line fluid ... Hypothermia #Protocol #management ... #treatment #algorithm