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diagnosis management nephrology ebm visualabstract criticalcare physicalexam comparison pharmacology pocus table cardiology crystalloids differential likelihood clinical renal contents plasmalyte ultrasound
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
HD machine • CRRT ... session using a CRRT ... machine CRRT Modes ... Corrects uremia, lytes ... corrects uremia, lytes
Choose Your Fluid: Crystalloid Comparison Chart: Plasma vs Plasma-Lyte, Saline (.45%, 0.9%, 2%, 3%), D5W, Ringer's Lactate,
Plasma vs Plasma-Lyte ... comparison #table #LR
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings Moon facies LR +1.6 Central obesity LR +3.0 Generalized obesity
Central obesity LR ... Thin skinfold LR ... 115.6 Plethora LR ... +NS Ecchymoses LR ... or blue striae LR
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
Barrel Chest - LR ... Lip Breathing - LR ... breath sounds - LR ... cardiac impulse - LR ... sternal border - LR
Renal Replacement Therapy (RRT) Modalities RRT Modalities in the ICU: • IHD (Intermittent HD): 3-5 hr
HD machine • CRRT ... session using a CRRT ... machine CRRT ... Corrects uremia, lytes ... corrects uremia, lytes
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte - Causes hyperkalemia? - Safe to
Crystalloids - 0.9% NS vs LR ... vs Plasma-Lyte ... indications #comparison #LR
Urine Electrolyte Interpretation - AKI, Hyponatremia, Hypokalemia and Non-Gap Metabolic Acidosis #Urine #Electrolytes #Interpretation #ULytes #AKI #FENa
Interpretation #ULytes
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios - Asymmetric calf swelling, ≥2 cm
cm difference - LR ... venous dilation - LR ... of entire leg - LR ... skin warmth - LR ... ankle swelling - LR
IV Fluids - Comparison Table Fluid - pH - Osm - Na - Cl - Other •
Lactated Ringer's (LR ... ), Plasma-lyte
Likelihood Ratios - Probability Remember 2/5/10 and 15/30/45: • LR of 2 increases the probability by 15%
and 15/30/45: • LR ... probability by 15% • LR ... probability by 30% • LR ... 5, and 1/10 • LR ... probability by 15% • LR
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