46 results
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... show anion-gap metabolic ... acidosis 4) Presentation ... Pulmonary edema, Shock ... Acidosis, Respiratory
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
• Anemia Metabolic ... : • Metabolic ... acidosis • DKA ... • Hypovolemic shock ... exposures • Lactic acidosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Associated Lactic Acidosis ... (MALA) Pathophysiology ... use in cellular metabolism ... acidosis including ... Toxicology #Diagnosis #Management
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... in blood flow caused ... Depends on the cause ... #Shock #Types #Pathophysiology ... #Comparison #criticalcare
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
Abdominal pain, nausea ... deterioration Shock ... and metabolic acidosis ... acidosis with both ... Toxicology #Diagnosis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal: metabolic ... acidosis, oliguria ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm
Elevated Anion Gap > 12
Causes of Metabolic ... Acidosis with Elevated ... poisoning Lactic acidosis ... • Shock • Drugs ... Diagnosis #Algorithm #Causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal: metabolic ... acidosis, oliguria ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic Acidosis ... impairment of cellular metabolism ... sweat) - its metabolism ... undifferentiated shock ... is in impending shock
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... #Hypotension #Management ... #criticalcare # ... Shock