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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... consistent with pulmonary ... lung collapse, or pulmonary ... : - Mild - ... #Syndrome #Berlin
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... Acute Coronary Syndrome ... Pneumonia • ARDS ... Interstitium • ILD ... Vessels • Pulmonary
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
mechanical ventilation, ARDS ... acute respiratory distress ... syndrome, PJP Pneumocystis ... jirovecii pneumonia, id ... #Pharmacology #Management
Pharmacologic Management of ARDS

Acute Respiratory Distress Syndrome (ARDS) - Berlin Definition
Mechanical Ventilation - Minimizing "Baro trauma"
Fluid
Pharmacologic Management ... Respiratory Distress ... Syndrome (ARDS) ... Neuromuscular Blockade Pulmonary ... #pulmonary
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: mild ... Can begin in arms ... #diagnosis #management ... #treatment #neurology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... cardiomyopathy • Pulmonary ... factors + oxidative stress ... Delivery • Stable ... Avoid ARBsICD
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... to determine if stress ... ACEi/ARBs - Hold ... days before Pulmonary ... medical and surgical management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... irrigation • Management ... Torsemide) • Acute pulmonary ... Excretion #Diuresis #Nephrology ... #Medications #Table
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... Exclusion of other ILDs ... #diagnosis #management