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 Indication ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Cardiff COVID-19 Daily checklist - Matt Morgan
A daily checklist for critically ill #covid19 patients. Concentrates on
Cardiff COVID-19 ... critically ill #covid19 ... - Have we reviewed ... #Daily #criticalcare ... #SARSCoV2 #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Arrythmias, Peripheral ischemia ... effects: Peripheral ischemia ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Pressors and Inotropes

Norepinephrine
 β€’ alpha1 > beta 1
 β€’ Increase SVR > Inotropy
Vasopressin
 β€’ V1
 β€’
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock ... #management
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
possible - Review ... sleeping, administer pharmacologic ... Delirium #Checklist #Management ... Treatment #MICU #CriticalCare