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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Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery Devices ... Variable devices ... NRB) β€’ Venturi Mask ... Flow #Comparison #management ... #criticalcare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Devices Simple ... Mask: β€’ Flow ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
Oxygen Delivery Devices ... FiO2) β€’ Face mask ... Oxygen #Delivery #Devices ... Comparison #table #pulmonary ... #criticalcare
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... Stage D CHF is frequently ... ventricular assist device ... #Management #Cardiology ... #CHF #Congestive
CPAP Troubleshooting Tips
1. Wrong size/style mask β†’ try a different mask, nasal pillows
2. Trouble getting used
forced air β†’ use device ... Unintentionally removing device ... check air filter, device ... Troubleshooting #Tips #management ... #problems #pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... Organ failure β€” device ... #Checklist #CHF ... #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare ... #management