27 results
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Replacement Therapy (RRT ... Modalities of RRT ... HD machine • CRRT ... convective clearance by filtering ... Replacement #Therapy #RRT
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
Immediate RRT planned ... uremia #clinical #video
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
Replacement Therapy (RRT ... Modalities RRT ... machine CRRT ... convective clearance by filtering ... Replacement #Therapy #RRT
Rhegmatogenous Retinal Detachment - Fundoscopy Ocular Examination

Dr. Sebastian Vega @oftalmopo

#RRD #Rhegmatogenous #Retinal #Detachment #Ocular #PhysicalExam #clinical
@oftalmopo #RRD ... PhysicalExam #clinical #video
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... deep Y-descent) + XRT ... pericarditis 2/2 remote XRT ... PhysicalExam #Clinical #Video
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
THE ART OF MEDICINE ... PhysicalExam #clinical #video
ECMO circuit chatter - rhythmic pulsations in the drainage catheter/tubing leading to the pump
CHATTER occurs when
bleeding & consider bolus ... chatter #clinical #video
Pulsatile Popliteal Artery Aneurysm on Physical Examination

A 40M with a 7cm Rt Popliteal artery aneurysm treated
40M with a 7cm Rt ... Pulsatile #clinical #video
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
< 125 Give a Bolus ... Tolvaptan • Rpt
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
INTUBATION CRITERIA* RR ... Printed in USA RR ... mL) NS-D5W IV Bolus ... IV: 100mg (15mg bolus