Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The โ€˜intubate earlyโ€™ paradigm, where patients who โ€œfailโ€ low flow oxygen
Proposed Respiratory Support ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 โ€ข Typically set at
General schema for ... respiratory support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... the patient's work ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare
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Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 โ€ข Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Arrest, Severe Hypoxemia ... Beta-Agonists, โ†‘ work ... , Renal failure, ... #Diagnosis #criticalcare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... /management of shock ... is never a bad idea ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... multisystem organ failure ... Classification #types #diagnosis ... #management #criticalcare ... #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... phlebotomy, or chemo ... high - Chronic hypoxia ... always a good idea ... #workup #hematology