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management differential cardiology workup anesthesia anesthesiology intraoperative shock signs algorithm hematology lactate lactic pathophysiology toxicity toxicology acute amiodarone apml aspirin
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
• Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare #
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Low BMI < 18.5 kg ... - CHF - Pulmonary ... - Metabolic Acidosis ... #diagnosis #pathophysiology ... #symptoms #signs
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... lethargy, hematuria, cardiac ... unless worrisome EKG ... with tetany or cardiac ... #TLS #diagnosis
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Severe Anemia, Cardiac ... Ischemia, Compartment Syndrome ... • Presents as AG ... in Short Bowel Syndrome ... #criticalcare #
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... ingestion/exposure Symptoms ... , Diaphoresis, Pulmonary ... Salicylate Level: 150mg/kg ... #management #Treatment
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... or serologies + symptoms ... #management #treatment
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT Syndrome ... misdiagnosed) - Sudden cardiac ... **Get baseline EKG ... family history) Treatment ... #Diagnosis #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... Undifferentiated #Shock #diagnosis ... guyton #curves #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary ... - Compartment syndrome
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