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
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