15 results
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... #Embolism #Treatment ... #AcutePE #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... NIPPV #CPAP #BPAP #indications ... #criticalcare #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... block (+/- daily EKG ... • Aggressive management
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
• Decreases work ... breathing by improving pulmonary ... for barotrauma (eg ... #Ventilation #management ... #pulmonary
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... An acute rise or ... disturbance, or acute ... #Hypertension #Workup ... Differential #Diagnosis #indications
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Prepare • Full Set ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Checklist #Diagnosis #Management ... #Workup
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... exercise, after acute ... to 6-8 hours to work ... Fibrillation #AFib #RVR #Medications ... #comparison #table