23 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... Decompensated CHF ... • Obstructive: Pulmonary ... #algorithm #treatment ... #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
In the vast majority ... Measure urine osmolality ... in 100 mL boluses ... include vaptans (HF ... #management #nephrology
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
of Hyponatremic ... May repeat until clinical ... L. 5) Monitor urine ... #management #protocol ... #hyponatremia
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... ultrafiltration; UO, urine ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive ... HeartFailure #Cardiology #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease ... pulmonary disease ... #management #cardiology ... #algorithm
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... - Treat hypernatremia ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Revascularization, treatment ... cardiogenic shock #Checklist ... #CHF #Shock #Cardiogenic
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... indwelling line in ... endocarditis w/ septic pulmonary ... #criticalcare # ... diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
ICU - Checklist ... list here, ie hyponatremia ... work-up/management ... CPK, HIV, EtOH, Urine ... diagnosis #workup #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... hair) • Risk Of Clinical ... #indications #criticalcare ... #management