36 results
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... prosthetic valve endocarditis ... for TPN) and antibiotic ... #Sources #Causes ... #Microbiology #Diagnosis
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Antibiotic Management ... Hemodynamically stable ... metastatic infection (endocarditis ... Hernodynamically stable ... Algorithm #CRBSI #diagnosis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... Decreased yield due to antibiotic ... therapy - Number one cause ... BloodCultures #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Diagnosis? ... • IV Antibiotics ... Treat underlying cause ... sided IE: heart block ... lesions, heart block
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Adrenal crisis - Anaphylaxis ... dysfunction - Endocarditis ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... course • Adjust antibiotics ... telemetry for heart block ... #criticalcare #diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis, Anaphylaxis ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... management #comparison #table
Common Medications Known to Prolong QTc
Antiarrhythmics - Amiodarone, sotalol, flecainide, quinidine, dronedarone, dofetilide
Vasopressors/inotropes - Epinephrine, norepinephrine,
, venlafaxine Antibiotics ... #Medications #Causes ... #differential #diagnosis ... #pharmacology # ... table
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
- Differential Diagnosis ... Table - Wide vs ... AFIutter + variable block ... #Differential #Diagnosis ... #Table #Wide #Narrow
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest where other causes ... Important culprits: antibiotics ... as patient is stable ... Intraoperative #Checklist #Diagnosis