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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management diagnosis shock differential treatment checklist clinical pocus algorithm classification comparison delivery devices fluid lung oxygen types workup air balance
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
insufficiency, liver ... CARDIOGENIC 16% • MI, CHF ... #differential #criticalcare
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Insufficiency, Liver ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
with suspected pulmonary ... CHD, congenital ... thromboembolic pulmonary ... HPAH, hereditary pulmonary ... disease; LFT, liver
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
Management 1) Ask ... ) Examination: Pulmonary ... Dyspnea #Management #criticalcare ... #pulmonary #Hypoxia
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Troponin, Lactate, Liver ... in cardiogenic pulmonary ... hypoperfusion, no pulmonary ... (no B-lines on ultrasound ... #Checklist #CHF
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
RRT leader • Ask ... Assessment: • Ask ... • Concise one-liner ... completed • Ask ... Management #treatment #criticalcare
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... Devices Simple Mask ... aka Hudson's Mask ... Devices #management #pulmonary ... #criticalcare
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
increased by 1.19x per liter ... aldosterone states (CHF ... Balance #management #criticalcare
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