Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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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Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... pharmacology ... #pharmacology # ... inopressors #diagnosis ... #management #comparison
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
test panel - Review ... potentially causative drugs ... as for septic shock ... #Diagnosis #Management ... #CriticalCare
Cardiff COVID-19 Daily checklist - Matt Morgan
A daily checklist for critically ill #covid19 patients. Concentrates on
Infection and drugs ... - Have we reviewed ... drug chart? ... COVID19 #Daily #criticalcare ... #SARSCoV2 #management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... - CBC with differential ... - Relevant drug ... #Workup #MICU #CriticalCare ... #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... adrenal crisis, drugs ... #Differential # ... #comparison #criticalcare
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Kidney Injury - Differential ... urinalysis, labs - Management ... Avoiding nephrotoxic drugs ... : Relief of obstruction ... #Injury #AKI #Differential
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
you can always review ... esp in work-up/management ... of shock MICRO ... #diagnosis #workup ... #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... possible - Review ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock, cryptic ... shock. ... Classification #types #diagnosis ... #management #criticalcare ... #differential