10 results
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
/ Breakthrough DVT ... Congenital agenesis of IVC ... Breakthrough #Recurrent #DVT ... #VTE #anticoagulation ... #differential #algorithm
Inferior Vena Cava (IVC) filters - Management Algorithm

 • Only two RCTs exist evaluating efficacy of
Inferior Vena Cava (IVC ... evaluating efficacy of IVC ... lacking to justify IVC ... #Algorithm #DVT ... #VTE
Algorithm for the diagnosis and management of iliofemoral deep vein thrombosis (DVT). In the absence of
Algorithm for the ... diagnosis and management ... vein thrombosis (DVT ... = intravenous, IVC ... #dvt #vte #thromboembolism
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
SVC Syndrome ... SVC syndrome suspected ... syncope, etc SVC ... Syndrome Grading ... #diagnosis #management
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
• AC/VC (VTE/RR/ ... exhaled volumes: VTE ... own RR, FiO2, VTE ... PPX: GI, DVT, ABX ... #CriticalCare #Management
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
150 milligrams IV ... cardioversion • If known SVT ... narrow-complex irregular protocol ... Tachycardia #Treatment #management ... #cardiology #algorithm
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
PULMONARY RR VT ... 4.0-8.0 L/min VT ... 80-300 mL (VT ... (physiologic) FVC ... >3.0 L FEV1/FVC
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Recurrent Polymorphic VT ... Torsades de Pointes - Management ... Algorithm Drugs ... , sotalol) • Propofol ... #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
heart is pounding, racing ... rhythms: PSVT or VT ... palpitations: PVC ... or VT • Terminates ... decreased brain flow (VT
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Tubular Potassium Gradient ... 100% mask A-a Gradient ... PEEP < 5 cm H20 VT ... > 5mL/kg, VC > ... Shunt < 20% VD/VT