2612 results
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Achieving a Negative Fluid ... Of A Negative Fluid ... Balance: • Volume overload ... Achieving a negative fluid ... liter of positive fluid
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Pressure vs Volume Overload ... EI) = D2/D1 RV Overload ... ” EI > 1 - POCUS ... diagnosis #cardiology #pocus
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
CHF, Cirrhosis - Fluid ... restriction SIADH - Fluid ... depletion - IV Fluids ... polydipsia - Normalize fluid
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation
A-Profile - Air filled lung does not transmit sound
are partially fluid ... bronchioles are fluid ... filled: fluid bronchograms ... will be seen IM POCUS ... Profiles #Ultrasound #POCUS
Prescribing Maintenance IV Fluids
Assess
 • Can the patient meet their fluid needs orally or enterally? If
Maintenance IV Fluids ... patient meet their fluid ... If so no IV fluid ... • Consider fluid ... , Examination, Fluid
Indications for Emergent Hemodialysis

Indications: "AEIOU" 
 A - Acidosis ( pH < 7.1 ) 
 E
Intoxications O - Overload ... with fluid refractory
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... CriticalCare #Shock #Fluids ... #POCUS
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
subcostal 4-chamber POCUS ... What abnormal fluid ... Easiest fluid collection ... effusion #s4c #POCUS ... echocardiogram #POCUS
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
briskly to IV fluids ... - Responds to fluid ... Failure - Restrict fluid
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... chest drain on POCUS ... where purulent fluid ... pleural space, fluid ... clinical #video #POCUS