33 results
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Ventilator - Algorithm Setting ... or reduce long lasting ... pain meds, combine ... happy lungs Nick ... Algorithm #Extubation #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ... ratio < 300 Nick ... Acute #Syndrome #Diagnosis ... #Management #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
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... acidosis with negative ... separate D-lactate testing ... infographic by Nick ... #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
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
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Positive Coombs testing ... for anti-C3d and negative ... post infectious setting ... hemolytic #anemia #hematology ... #diagnosis
Post Proning Nursing Checklist
Head/Face: 
 - Check ETT/tracheostomy is accessible/not kinked (ETT cm at teeth …..)
- Dermal gel pads ... pressure to nostril Neck ... lower back and neck ... Infusion lines not resting ... #Post #Prone #CriticalCare
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
ANAs; thus, a negative ... 45 years with neck ... (to support a diagnosis ... laboratory #workup #diagnosis ... #testing #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