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management diagnosis algorithm differential clinical pharmacology causes cardiology table syndrome criticalcare gastroenterology medications pocus hematology neurology pulmonary comparison rheumatology infectiousdiseases
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
>10% bands Sepsis ... -3, 2016) • Sepsis ... Septic Shock • ... recognition & treatment ... #sirs #shock #lactate
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
Sepsis - Diagnosis ... SHOCK is a subset ... of sepsis in which ... shock are identified ... recognition and treatment
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Dehydration Shock ... Treatment Goals ... criticalcare #algorithm #treatment
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... essential to determine treatment ... Shock can be broken ... DISTRIBUTIVE: Sepsis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... - Septic ... #criticalcare #treatment
Summary of Infections in which Steroids play a role in treatment • TB meningitis • TB
play a role in treatment ... • Refractory septic ... shock (although ... infections #management #treatment
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
seems like DKA, sepsis ... Pulmonary edema, Shock ... diagnosis #management #Treatment
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
General malaise • Septic ... shock: Hypotension ... Endocarditis, Septic ... Treatment: • 50% ... diagnosis #management #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... /hypoxemia/Sepsis ... ->treatments include ... before beginning treatment ... syndrome - Sepsis
Bacteremia Quick Reference - Treatment Duration Gram Negative Bacteremia: • Avoid: Aminoglycosides and tigecycline • Catheters should
Quick Reference - Treatment ... be removed in septic ... shock, suppurative ... #Bacteremia #Treatment
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