15 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... monitoring ABG values ... #Management #CriticalCare ... #Ventilation #RespiratorySupport
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... with increased work ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Work Shifting - Mechanical Ventilation
Why the new term:
Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... is done by the ventilator ... by the ventilator ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Survey 4) Workup ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... pressures • Decreases work ... breathing by improving pulmonary ... close mouth #Noninvasive ... #pulmonary
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Ensure adequate ventilation ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... myocarditis, etc), Valves ... Cardiac Tamponade, Pulmonary ... guyton #curves #criticalcare
Volume Assist/Control Mechanical Ventilation
How does this mode work?
 • Delivers a set volume of air with
Control Mechanical Ventilation ... does this mode work ... Lung Protective Ventilation ... #AC #criticalcare ... #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
required mechanical ventilation ... intubation or noninvasive ... ventilation ... negative predictive value ... Management #treatment #Pulmonary