17 results
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... - Acute Respiratory ... volume overload or CHF ... #Diagnosis #Management ... #CriticalCare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Pericardial • Effusion ... • Cardiac Tamponade ... Stable Angina • Acute ... Pneumonia • ARDS ... Interstitium • ILD • CHF
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... consistent with pulmonary ... explained by pleural effusions ... #Acute #Respiratory ... Criteria #Diagnosis #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large effusion ... drained if causing acute ... distress - Consider ... #Checklist #CHF
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... fully explained by effusions ... fully explained by cardiac ... #Diagnosis #CriticalCare ... #ARDS #Acute #Respiratory
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Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... insufficiency, acute ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Cardiac surgery? ... #Summary #criticalcare
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... bilateral pleural effusions ... ). 1/5 pts w/ acute ... Consider cardiac ... heartfailure #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... ACEi/ARBs - Hold ... medical and surgical management