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A beginner’s guide to the ICU – Critical Concepts
- The patient is hypotensive. Should you bolus fluid?
Whole books have been written on the question of “fluid responsiveness.” If you stick with this business long enough, you’ll eventually find methods that work for you. Until then, try a small bolus, given quickly, and see if the patient responds. If not, stop doing that. - The patient is out of shock and getting better. They look like the Michelin Man. What should yo…
Diurese them. Eventually they’ll pee it off (if their kidneys work), but they’ve got stuff to do and so do you, so hasten the process. Start with 20mg of IV furosemide, increase the dose if they don’t respond within a few hours, and repeat when the effect wanes until they reach euvolemia.
- The patient is hypotensive. Should you bolus fluid?
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Assist Control Ventilation (ACV) or (CMV) Also known as Continuous Mandatory Ventilation (CMV) that delivers a fixed volume of O2 to patient with each assisted breath. Synchronized …
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Also known as Continuous Mandatory Ventilation (CMV) that delivers a fixed volume of O2 to patient with each assisted breath. Synchronized Intermittent-Mandatory Ventilation (SIMV) …
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