21 results
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... with negative lactate ... Difficult to diagnosis ... infographic by Nick ... #criticalcare #
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
correct metabolic acidosis ... long lasting pain meds ... happy lungs Nick ... Algorithm #Extubation #CriticalCare
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
- Achieving a Negative ... Advantages Of A Negative ... REMOVE UNECCESARY MEDS ... - Nick Mark ... Balance #management #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... - Distended neck ... crackles, elevated JVP ... Jonesy_MA #Shock #Diagnosis ... Management #Summary #criticalcare
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
aorta • Head and neck-limited ... Systemic (head and neck ... PET-CT Imaging (→ Diagnostic ... • Some false negative ... workup #treatment #rheumatology
THROMBOELASTOGRAPHY (TEG)
General Principle
• A small cuvette is rotated to simulate sluggish venous flow and stimulate clot
development Nick ... Thromboelastography #Diagnosis ... #Management #CriticalCare ... #Hematology #Interpretation
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
line non-benzo sedative ... syndrome (PRIS) - acidosis ... result in lactic acidosis ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... anaphylaxis, toxins/meds ... Classification #diagnosis ... management #Overview #criticalcare
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
more than what native ... • HYPERCAPNIA/ACIDOSIS ... by Nick Mark MD ... Troubleshooting #problems #diagnosis ... differential #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... anaphylaxis, toxins/meds ... Classification #diagnosis ... management #Overview #criticalcare