ICU Cheat Sheets

Troubleshooting Basics of Mechanical Ventilation Positive End Expiratory Pressure M. DaniyalHashmi, MD ARDS -overview Ventilator settings M. DaniyalHashmi, MD Shock• Syndrome of impaired oxygen delivery to tissues • Mechanisms -Absolute/relative decrease in oxygen delivery -Ineffective tissue perfusion -Ineffective utilization of delivered oxygen Septic shock Cardiogenic shock Examination Management of Hypotension M. DaniyalHashmi, MD General factsSpread: Droplet spread, survives 2-3 hours on most surfaces, 2 days on smooth metal/plastic Incubation: 2-14 days 1stweek: Fever, cough, headache, fatigue, myalgias, pharyngitis 2ndweek: Resolves in 80%, Viral pneumonia 20% Risk increased: Heart/lung disease, immunosuppression, poorly controlled DM Exam: Non specific Labs:Lymphopenia with normal WBC count or relative leukopenia, Elevated Ferritin/CRP/D-Dimer is negative prognostic indicator Mortality: Due to oxygenation failure or septic shock/multiorgan failure Imaging: Testing: CBC, CMP, ABG, Troponin, G6PD, Rapid flu testing and bacterial sputum and blood cultures (coinfection with BACTERIAL respiratory pathogens unlikely), Coronavirus PCR testing, CRP, Ferritin, D- Dimer Treatment: Symptomatic support for stable patients otherwise refer to guidelines for critical care support -Currently under investigation (Plaquenil, Azithromycin and Remdesivir) M. DaniyalHashmi, MD Per présentation by Dr. Leon Liang-Yu Lai, MD Concerning levels on ABG M. DaniyalHashmi, MD