20 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Examine for a cause ... Diagnosis and Workup ... Hypotension #Management #criticalcare ... #Shock
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... pseudohypokalemia is ruled ... Differential #Diagnosis #Algorithm ... #Causes #workup
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... → CT urography and ... Nephrology if cause ... #Workup #urology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... extremities, narrow pulse ... findings based on cause ... uw_IMresidency #Shock ... table #comparison #criticalcare
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Pulse Abnormalities ... Differential Diagnosis Algorithm ... • Hypovolemic shock ... Differential #Diagnosis #Algorithm ... #causes
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... • Non-contrast CT ... Defined if 1) CT ... 50% stenosis 4) Ruled ... out other causes
Arterial Lines & Waveforms
Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
cardiac output shock ... double peaked pulse ... - late peaking pulse ... intrathoracic pressure and causes ... #calibration #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... wide vs. narrow pulse ... management #Overview #criticalcare ... #differential #causes
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
syndrome as a cause ... Note: CT = computed ... Although nonhepatic causes ... ascites #diagnosis #workup ... #algorithm #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... wide vs. narrow pulse ... management #Overview #criticalcare ... #differential #causes