20 results
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
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Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... Non-specific ST ... #Embolism #AcutePE ... #EKG #Findings
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... criticalcare #cardiology #ECG
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... • Non-specific ST-T ... #EKG #Pulmonary ... #Embolism #AcutePE
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Failure, Toxins/Medications ... Low CO / High SVR ... , CVP > 12 • Pulmonary ... Embolism, Tension
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
Beta Blockers - Pharmacology ... Comparison Table ... Suppression of VT ... Beta #Blockers #Pharmacology ... #Comparison #Table
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... • D1 (1-2 mcg/kg ... alpha (5-10 mcg/kg ... Vasopressors #Inotropes #Pharmacology ... Summary #management #medications
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... embolism 2) Understand ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... diagnosis #management #comparison
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... @nickmmark #Pulmonary ... #Embolism #Treatment
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... spleen, brain) Indications ... with multiple embolic ... block (+/- daily EKG