13 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
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 #
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and the ice pack test ... dismay the blood work ... include a Tensilon test ... tumor, and always ask ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Bedside: ice pack test ... /Edrophonium test ... immunologic assay - MuSK ... #diagnosis #management ... #neurology
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
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... myasthenia usually • Starts ... #Myasthenia #Gravis ... #diagnosis #management ... #neurology #treatment
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
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Checklist - Myasthenia Gravis ... - Infectious workup ... procainamide, statins ... MyastheniaGravis #Checklist #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