Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis hypoxia respiratory schema support differential admissions admitting cardiogenic cardiology chf classification endocarditis guidelines heartfailure hypokalemia icu pearls survivingsepsis treatment
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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... causing heart failure ... #criticalcare # ... diagnosis #management
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... - Severe renal failure ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... pre-existing heart failure ... esp in work-up/management ... of shock MICRO ... diagnosis #workup #criticalcare
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