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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
Index CARDIAC WORK ... RCWI Cardiac Work ... A-a Gradient (((FIO ... age-corrected PAO2 ... Oxygen Tension ((FIO
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Unknown Origin (FUO ... ) - Further Workup ... Returning Traveler’ algorithm ... node biopsy • Clinical ... udaygulati #FUO
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
the Anion Gap (AG ... Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... Disorders #Evaluation #workup
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... AECOPD) Obtain workup ... of AECOPD: • Clinical ... /ABG Matthew ... #COPD #AECOPD #Algorithm
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Look at the pCO2 ... the change in pCO2 ... need to do more work ... AmyChung #AcidBase #ABG
Diabetic Foot Ulcer - Peripheral Arterial Disease Assessment Algorithm

Early Revascularization vs Conservative Care

Workup:
 • Arterial doppler
Disease Assessment Algorithm ... Conservative Care Workup ... Arterial doppler • ABI ... PAD #Diagnosis #Algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... poor air flow • ABG ... : - High pCO2 ... Abnormally normal ABG ... with increased work
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... failure), not the ABG ... RespiratorySupport #Selection #Algorithm
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Consciousness - Workup ... Clinical Exam ... Imaging Section Clinical ... Refer to Blood Work ... #algorithm #Causes
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... nickmmark #acidbase #workup ... #algorithm #diagnosis