15 results
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
- Myocardial ischemia ... type-II myocardial ischemia ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #coronavirus
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... disease Systolic dysfunction ... Diastolic dysfunction ... chronic renal failure ... #PHTN #Classification
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Heart Failure with ... prevent myocardial ischemia ... causing systemic hypertension ... , pulmonary hypertension ... and right heart dysfunction
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
Left-Sided Heart Failure ... Differential Diagnosis Algorithm ... Transient Myocardial Ischemia ... Uncontrolled Severe Hypertension ... Differential #Diagnosis #Algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... severe pulmonary hypertension ... water #Shock #Classification ... diagnosis #management #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... Papillary Muscle Dysfunction ... • Ischemia ... • Pulmonary Hypertension ... Differential #Diagnosis #Algorithm
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Microcirculatory dysfunction ... Systemic liver Failure ... , Renal failure, ... Mitochondrial dysfunction ... Differential #Diagnosis #criticalcare