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criticalcare diagnosis management adenosine bpap cardiacstresstest chest coronarystenosis cpap differential icucard indications lexiscan myocardialperfusionimaging nippv noninvasive nonobstructivecoronaryarterydisease nuclearstresstest pain pharmacologicalstressagents
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Algorithm History ... and Exam Acute ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
generate larger VT ... exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... status • Won't Work
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
→ ↓ → →↑ Pulmonary ... Embolism ↓ ↑ ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... RCWI Cardiac Work
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
controlled blood pressure ... systolic blood pressure ... Acute pulmonary ... embolism Acute ... when baseline EKG
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