165 results
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
Hemorrhage: SBP ... Spontaneous ICH: SBP ... hours after TPA: SBP ... (SBP>70-90, MAP ... Age 50-69: SBP
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Diagnosis #Management #SAAG ... #Evaluation #SBP
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient (SAAG ... hypertensive source • SBP ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
distention #ascites #SAAG ... serumascitesalbumingradient #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
for tPA: - Goal SBP ... <185 AND DBP <110 ... Hypertension: Goal SBP ... <220 AND DBP <120
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Guidelines as SBP ... weeks gestation, SBP ... weeks gestation: SBP ... 4 hrs apart or SBP ... Severe Features: SBP
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... • Calculate SAAG
Blood Pressure Targets in Hypertensive Crisis

Timeline:
1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg
2-6
25%, Maintain DBP ... Titrate To Goal SBP ... 160 mmHg & DBP ... hours: Maintain SBP ... <160 mmHg & DBP