Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism, Pneumothorax, Alveolar Hemorrhage (DAH), Anaphylaxis
Targeted Exam: Mental Status, Volume Exam (JVP, edema), Lung Exam, POCUS (B-lines, lung sliding)
Diagnostics: STAT Labs (BMP, CBC, coags, BNP, Troponin), ABG, STAT CXR, CTA Chest, Echocardiogram, Bronchoscopy
Therapeutics: Airway, Circulatory Support, O2 Escalation, Tailored Therapy
 • Aspiration/PNA: antibiotics
 • Flash Edema: Lasix + BP control
 • Bronchospasm: Solu-Medrol, • stacked nebs
 • PE: anticoagulation
 • Anaphylaxis: 1M Epi, ± Solu-Medrol. Benadryl. PPI
Oxygen Therapy:
 • Low Flow
 • Reservoir
 • High Flow
 • NIPPV

Sophia Hayes MD @Sophia_Hayes_MD

#Hyperacute #Hypoxemia #Hypoxia #Workup #diagnosis #Management #treatment #criticalcare 
Dr. Priyanka Teckchandani @DrTeck · 2 years ago
GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22
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