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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8 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare #
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
↓SpO2 β€’ High work ... with increased work ... Prednisone β€’ NIPPV: BiPAP ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -The choice of BiPAP ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
β–Ί
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... failure (ie.. asthma ... status β€’ Won't Work ... #indications #criticalcare ... #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... #Emergency #Management ... #CriticalCare # ... Exacerbation #Algorithm
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... affects diagnostic workup ... choices AND management ... Hyperthyroid #Diagnosis #Algorithm ... #Workup #Endocrinology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... MyastheniaGravis #Checklist #Management ... #CriticalCare