Venous Thromboembolism in the Intensive Care Unit
Fig. 25.1 Large central thrombi in the main bilateral pulmonary arteries (arrows) in a 72-year-old man who presented with submassive pulmonary embolism Question If the decision is made to administer…
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Acute Leukemia Presentation with DIC
© Springer International Publishing Switzerland 2017Robert C. Hyzy (ed.)Evidence-Based Critical Care10.1007/978-3-319-43341-7_71 71. Acute Leukemia Presentation with DIC Laurie A. Manka1 and Kenneth Lyn-Kew1 (1) Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, National Jewish…
Principles of Nutrition in the Critically Ill Patient
© Springer International Publishing Switzerland 2017Robert C. Hyzy (ed.)Evidence-Based Critical Care10.1007/978-3-319-43341-7_67 67. Principles of Nutrition in the Critically Ill Patient Jacqueline L. Gierer1, Jill Gualdoni1 and Paul D. Bozyk2 (1) Internal Medicine, Beaumont Health, Royal Oak, MI, USA (2)…
Management of Endocarditis
Fig. 19.1 Transthoracic echocardiogram documenting an aortic valve vegetation and severe aortic insufficiency in the parasternal long axis view and the 5-chamber apical view. Continuous wave Doppler signal of the…
Treatment of Viral Hemorrhagic Fever in a Well-Resourced Environment
Fig. 56.1 Correct Gear EVD flyer. Courtesy of NYC Health + Hospitals, Bellevue Protocols and Policies The precautions instituted when caring for a patient with suspected or confirmed EVD add…
Sedation and Delirium
Fig. 27.1 Richmond Agitation-Sedation Scale (© Vanderbilt University) Table 27.1 The ICU pain, agitation, and delirium care bundle Component Pain Agitation Delirium Assess Assess ≥4×/shift and prn NRS if patient…
Thyroid Storm
Common Known Triggers of Thyroid Storm : Withdrawal of anti-thyroid drug therapy Iodide compound intake or radioiodine (I131 or I123) therapy in patients with Graves’ disease or autonomously functioning thyroid…
Management of Severe Hyponatremia and SIADH
Hypovolemic Euvolemic Hypervolemic Orthostasis Poor skin turgor Dry mucous membranes Normal heart rate and blood pressure Normal skin turgor Moist mucus membranes Lower extremity or sacral edema Ascites Table 46.2…
Neuroleptic Malignant Syndrome
Disorder Onset time Muscular symptom Other features Postulated mechanism Causative agents Possible treatments Medication-induced movement disorder Medication-induced acute dystonia Hours to a few days Sustained, involuntary muscle contraction,…
The Post-intensive Care Syndrome
Domain Diagnosis Prevention Rehabilitation Cognition Use a validated, screening test at time of discharge or initial follow-up (e.g., Montreal Cognitive Assessment) ABCDEF bundle to minimize delirium and preserve physical function…
