You are called to urgently review a 73-year-old female who is ventilated following admission with severe community-acquired pneumonia. She had a tracheostomy five days ago. She has now acutely desaturated and developed high airway pressures.
AGENTS NB. phenytoin and sodium valproate do not usually present with features of sodium channel blockade in overdose. CLINICAL FEATURES INVESTIGATIONS SPECIFIC MANAGEMENT AND TRIGGERS FOR INTERVENTION References and Links
Sodium valproate is a commonly used anti-epileptic drug, that come sin standard and enteric coated forms. Toxicity is characterised by metabolic failure, resulting in multi-organ dysfunction and cerebral edema
Excessive oxygen administration can lead to hypercapnic respiratory failure in some COPD patients. COPD patients with more severe hypoxemia are at higher risk of CO2 retention from uncontrolled O2 administration
OVERVIEW In the FCICM exam this means ‘describe similarities and differences (e.g. in table form)’ useful to base structure on the key features of the alternatives TEMPLATE ‘AEIOU’ Availability and cost Evidence and place in guidelines Information given (vs gold…
Cholinergic Toxidrome
You are asked to look at an 82 year old man who has a poor urinary stream and recurrent urinary tract infections. You wonder if he has a large post void resudual volume so take a look.
High volume haemofiltration (HVH) is CRRT where the filtration rate is large - aka “high-volume,” “high intensity,” or “high flow”
Reviewed and revised 17 September 2019 OVERVIEW Initial management of sepsis and septic shock involves consideration of: resuscitation early administration of appropriate antibiotics following blood cultures early source control judicious fluid resuscitation, avoiding excess fluids noradrenaline for refractory hypotension (septic shock) inotropes…
Tintinalli Resus multiple choice questions MCQs for ACEM Fellowship
Tintinalli Respiratory multiple choice questions MCQs for ACEM Fellowship
Tintinalli Renal multiple choice questions MCQs for ACEM Fellowship