18 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
in CHF - Mean airway ... #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare ... #management
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology of ... #Diuretics #Pharmacology ... Loop #Thiazide #CHF ... #Cardiology #Management
Ivermectin. Old anti-parasitic agent making a comeback with recent headlines from in-vitro study that showed antiviral
SARS-CoV-2, the virus ... InfectiousDiseases #CriticalCare ... EmergencyMedicine #Pharmacology ... #Treatment #Virus ... #Antiviral #Management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... - May mimic HF ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... lungs - Consider BiPAP ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... inopressors #diagnosis #management