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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Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... small valve to mix oxygen ... #Oxygen #Delivery ... Devices #management #pulmonary ... #criticalcare
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Pulmonary vasculature ... Patients with liver ... Alveolar-arterial oxygen ... HPS #hepatology #pulmonary
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
Oxygen Delivery ... FiO2) β€’ Face mask ... iMedEducation #Oxygen ... Comparison #table #pulmonary ... #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
due to: reduced oxygen ... delivery, increased oxygen ... consumption, inadequate oxygen ... embolism or severe pulmonary ... diagnosis #management #criticalcare
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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lung collapse, or pulmonary ... of arterial oxygen ... fraction of inspired oxygen ... Criteria #Diagnosis #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Insufficiency, Liver ... , CVP > 12 β€’ Pulmonary ... Diagnosis #Types #criticalcare
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery ... from the wall/oxygen ... Oxygen delivery ... NRB) β€’ Venturi Mask ... Comparison #management #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
blood flow (CO) & oxygen ... Cardiac Tamponade, Pulmonary ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare