26 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Severe Asthma Exacerbation ... ↓SpO2 • High work ... muscle use • Inability ... with increased work ... #Exacerbation #CriticalCare
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... is done by the ventilator ... by the ventilator ... Troubleshooting #diagnosis ... #criticalcare #
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g. asthma ... maneuver on the ventilator ... overall minute ventilation ... PEEP #pulmonary #diagnosis ... #management #criticalcare
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Diagnosis Algorithm ... Ventilation/perfusion ... Airway Disease (Asthma ... #Diagnosis #Algorithm
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management Differential ... Diagnosis: Aspiration ... Hypoxemia #Hypoxia #Workup ... #treatment #criticalcare
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
evaluation or workup ... 1,500 cells/µL Workup ... common causes are asthma ... Disorders #Algorithm #Differential ... #diagnosis #hematology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... Causes: Pneumonia, asthma ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... failure (ie.. asthma ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Diagnosis Framework ... Depending on degree of instability ... #Diagnosis #Management ... #cardiology #criticalcare
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Diagnosis 1) Start ... Differential Diagnosis ... Decreased Mechanical Ventilation ... Increased Mechanical Ventilation ... Disorders #Evaluation #workup