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diagnosis algorithm cardiology treatment checklist workup anesthesia anesthesiology differential acls adult aha2020 cardiacarrest clinical foamed lifesupport pulmonary table amyloid amyloidosis
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... mixed, hemodynamic measurements ... severe cardiogenic shock ... (eg, acute valvular ... pressure) -right atrial
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #Diagnosis #Management ... #Summary #criticalcare
Arterial Lines & Waveforms Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
blood pressure measurement ... used to estimate cardiac ... pulses; seen in low cardiac ... output shock states ... #calibration #criticalcare
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... , echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... , atrial fibrillation ... #Shock #Management ... #CriticalCare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... cause) or septic shock ... Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Consider invasive arterial ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... patients (including cardiac ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
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