Current Clinical Strategies
Critical Care Medicine
2002-2003 Edition
Matthew Brenner, MD
Associate Professor of Medicine
Pulmonary and Critical Care Division
University of California, Irvine
Michael Safani, PharmD
Assistant Clinical Professor
School of Pharmacy
University of California, San Francisco
Georgina Heal, MD
Ryan M. Klein, MD
Scott T. Gallacher, MD
Guy Foster, MD
Michael Krutzik, MD
Farhad Mazdisnian, MD
Roham T. Zamanian, MD
Hans Poggemeyer, MD
H. L. Daneschvar, MD
S. E. Wilson, MD
Division of Pulmonary and Critical Care Medicine
College of Medicine
University of California, Irvine
Current Clinical Strategies Publishing
www.ccspublishing.com/ccs
Digital Book and Updates
Purchasers of this book may download the digital book and updates of this
text at the Current Clinical Strategies Publishing Web site:
www.ccspublishing.com/ccs.
Current Clinical Strategies Publishing
www.ccspublishing.com/ccs
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Copyright \u00a9 2003 Current Clinical Strategies Publishing. All rights reserved. This book, or any parts thereof, may not be reproduced or stored in an information retrieval network without the written permission of the publisher. The reader is advised to consult the drug package insert and other references before using any therapeutic agent. No liability exists, expressed or implied, for errors or omissions in this text. Current Clinical Strategies is a registered trademark of Current Clinical Strategies Publishing Inc.
Contents
Advanced Cardiac Life Support.................................5
Critical Care Patient Management..............................15
Critical Care History and Physical Examination................... 15 Critical Care Physical Examination............................. 15 Admission Check List....................................... 16 Critical Care Progress Note.................................. 17 Procedure Note............................................ 17 Discharge Note............................................ 18 Fluids and Electrolytes...................................... 18 Blood Component Therapy................................... 18 Total Parenteral Nutrition.................................... 19 Enteral Nutrition........................................... 20 Radiographic Evaluation of Interventions........................ 20 Arterial Line Placement...................................... 21 Central Venous Catheterization............................... 21 Normal Pulmonary Artery Catheter Values....................... 24
Cardiovascular Disorders.....................................25
Acute Coronary Syndromes.................................. 25 Myocardial Infarction and Unstable Angina....................... 25 Heart Failure.............................................. 32 Atrial Fibrillation............................................ 36 Hypertensive Emergency.................................... 41 Ventricular Arrhythmias...................................... 44 Torsades de Pointes........................................ 44 Acute Pericarditis.......................................... 45 Pacemakers.............................................. 46
Pulmonary Disorders.........................................49
Orotracheal Intubation....................................... 49 Nasotracheal Intubation..................................... 50 Ventilator Management...................................... 51 Inverse Ratio Ventilation..................................... 52 Ventilator Weaning......................................... 52 Pulmonary Embolism....................................... 54 Asthma.................................................. 58 Chronic Obstructive Pulmonary Disease........................ 62 Pleural Effusion............................................ 65
Trauma....................................................67
Pneumothorax............................................. 67 Tension Pneumothorax...................................... 68 Cardiac Tamponade........................................ 69 Pericardiocentesis.......................................... 69
Hematologic Disorders.......................................71
Transfusion Reactions...................................... 71 Disseminated Intravascular Coagulation......................... 72 Thrombolytic-associated Bleeding............................. 73
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Critical care medicine
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