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management differential treatment shock workup acidosis algorithm cardiology causes classification delirium elevation endocarditis evaluation hyperkalemia influenza k lactate lactic micu
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare # ... diagnosis #management
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
- Review of medication ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
glucose - Review medication ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Workup #MICU #CriticalCare ... #Diagnosis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare #
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Neurogenic >> Vasopressors ... Management #Summary #criticalcare
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... Peak T, flat P, ST ... STOP offending medications ... concurrent need for vasopressor
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... administration, vasopressors ... output - Acute pulmonary ... - HIV/HAART medications
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
Diagnostic tests ... uncertainty (e.g ... other indication (e.g ... lab-confirmed influenza, pulmonary ... #Management #CriticalCare
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