11 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
cardiogenic shock (eg ... Diagnosis #PACatheter #NormalValues ... Chambers #Wedge #PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
• PH (mean PAP ... RAP/PCWP RATIO ... RV dysfunction. e.g ... ., RA/PCWP > 0.8 ... forward flow. e.g
Fungal Biomarkers: Comparing Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 •
Other Pathogens: PCP ... Galactomannan #diagnosis #comparison
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Other positives: PJP ... formulations (e.g ... beta-glucans (e.g ... Positives: - Pip ... Galactomannan #diagnosis #comparison
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Condition SAP CVP PAP ... PCWP CO C(a-v ... 9-17 mmHg (PSP ... 60-80 mmHg DP-PCWP ... LCWI 3.4-4.2 kg
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Other +s: PCP, Histo ... formulations (eg ... False positives: Pip
IDSA Recommendations for Prevention and Treatment of Pneumocystis Pneumonia (PCP) in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
Pneumocystis Pneumonia (PCP ... count monitoring (e.g ... Prevention #Treatment #PCP ... #PJP #jiroveci
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
treated by his PCP ... acyclovir 10mg/kg