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management differential checklist treatment algorithm anesthesia anesthesiology causes clinical emergency endocarditis evaluation icu intraoperative syncope table admissions admitting artery balloon
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... 5) Analyze and Reverse ... #Summary #criticalcare
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Abrupt onset and severe ... tissue disorder e.g ... deficit • Shock ... blood pressure: e.g ... #Dissection #diagnosis
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... • Seek to reverse ... the insult (eg, ... #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Relevant drug levels (e.g ... tox/infectious workup ... rigidity) Consider EEG ... #MICU #CriticalCare ... #Diagnosis
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Blood draw • Severe ... Mechanical • Aortic ... Medication side effect (e.g ... Medication side effect (e.g
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... will also get an EKG ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... forward flow. e.g ... Direct Fick in severe ... artery #catheter #diagnosis ... #cardiology #swanganz
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
criteria required to diagnose ... emergency (1) Severe ... hypertension (e.g ... presence of increased optic ... #Algorithm #CriticalCare
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... risk factors (eg ... hypertension (eg ... hypertension (eg ... Coarctation of aorta
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