12 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
altered mental status ... • Won't Work ... Ventilation #NIPPV #CPAP ... #criticalcare # ... management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Titrate CPAP ... filter • N95 mask ... #management #schema ... #criticalcare #
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
of generalized status ... In short, best outcomes ... The duration of status ... #Management #Neurology ... #CriticalCare #
COVID-19 Related Personal Protection Management 

Level I protection 
 • Disposable surgical cap
 • Disposable surgical
COVID-19 Related ... Personal Protection Management ... • Work uniform ... (N95) • Work ... PersonalProtectiveEquipment #Levels #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... unavailable, disposable cap ... using BVM: Hold mask ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... current clinical status ... Urine Pregnancy Test ... #criticalcare
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Altered Mental Status ... Rapid Response Management ... 1) Ask while ... Diagnosis and Workup ... #Management #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Functional status ... determine if stress test ... OSA • Continue CPAP ... medical and surgical management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... Assess volume status ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... reabsorption) Workup ... Cortisol+ACTH stim test ... Optimize volume status ... Treatment #potassium #nephrology