Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... practitioners is ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
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Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... that intubation is ... COVID19 #management #schema ... #criticalcare #
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
tolerating HFNC or HFNC is ... Guidelines #respiratory ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment algorithms ... the perceived level ... limitation, further evaluation ... is warranted. ... ; FEV1: forced expiratory
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenia Gravis Evaluation ... workup or TSH level ... thyroid disease Respiratory ... mild-moderate respiratory ... Checklist #Management #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... pomagnesemia Evaluation ... Repletion Of Mg is ... target potassium level ... Hypokalemia #Management #CriticalCare
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
in COVID-19 Is ... is normal or elevated ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2