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diagnosis clinical management pocus differential ultrasound sbo algorithm obstruction abdominal causes cardiology treatment hepatology smallbowel criticalcare ascites microbiology table workup
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Day 3 repeat paracentesis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Important Blood Pressure Targets in the ED Subarachnoid Hemorrhage: SBP < 140 -
Hemorrhage: SBP ... hours after TPA: SBP ... (SBP>70-90, MAP ... Age 50-69: SBP ... Age <50, 70+: SBP
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
cephalosporin • Albumin ... #Peritonitis #SBP
Blood pressure management in acute ischemic stroke - Timeline Candidate for tPA: - Goal SBP <185 AND
for tPA: - Goal SBP ... <185 AND DBP <110 ... Hypertension: Goal SBP ... <220 AND DBP <120
Blood Pressure Targets in Hypertensive Crisis Timeline: 1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg 2-6
25%, Maintain DBP ... Titrate To Goal SBP ... 160 mmHg & DBP ... hours: Maintain SBP ... <160 mmHg & DBP
Hypertensive Disorders of Pregnancy Chronic Hypertension: • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg •
Guidelines as SBP ... weeks gestation, SBP ... weeks gestation: SBP ... 4 hrs apart or SBP ... Severe Features: SBP
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