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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COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiopulmonary support ... cardiopulmonary support ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
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
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
hyperkalemia #kaliuresis #management ... #criticalcare # ... diuretics #diuresis #nephrology ... #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... noninvasive respiratory support ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Tailoring Vasopressors to a Patient's Physiology

Overall, norepinephrine, epinephrine, and vasopressin are all supported by evidence as
vasopressin are all supported ... physiology #Management ... #CriticalCare # ... Vasopressor #Selection #Algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... goal-directed stepwise management ... of hemodynamic support ... #Shock #Algorithm ... #CriticalCare #
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... rhythm or cardiac ischemia ... #CriticalCare # ... #Exacerbation #Algorithm
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery 

β€’ Cephalosporins may be prescribed to patients
Algorithm for Suspected ... clinical decision support ... algorithm below ... #Preoperative #Management ... #Protocol