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Basic ICU

Drhyo 2025.11.16 19:27 Views : 15

A. Life-Threatening Priorities

Airway → Breathing → Circulation → Disability → Exposure

B. Ventilator Basics

  • Mode: AC/VC or AC/PC (most common)

  • Lung protective strategy: 6 mL/kg ideal body weight

  • Goals:

    • Plateau < 30

    • Driving pressure < 15

    • SpO₂ > 88–94% (ARDS)

    • Gradually lower FiO₂ → increase PEEP as needed

  • SBT criteria: FiO₂ ≤ 40–50%, PEEP ≤ 5–8, low sedation, hemodynamic stable

C. Shock Types & Management

Type Clues First Steps
Septic Fevers, warm, high CO Fluids (if needed), norepi → vasopressin, abx
Cardiogenic Elevated JVP, crackles, cold Pressors + inotropes (dobutamine), avoid fluids
Hypovolemic GI bleed, dehydration Fluids + blood products
Obstructive PE, tamponade, tension PTX Resolve obstruction (lysis, pericardiocentesis, needle decompression)

D. Drips to Know

  • Pressors: norepi → vaso → epi

  • Sedation: propofol, dexmedetomidine

  • Analgesia: fentanyl gtt or intermittent

  • Arrhythmias: amiodarone, lidocaine

  • Renal: CRRT (consult renal early)

E. ICU Essentials

  • Daily SAT/SBT

  • I/Os, UOP, weights

  • DVT/GI prophylaxis

  • Maintain K > 4, Mg > 2, Phos > 3

  • Cultures before antibiotics

  • Daily discussion: goals of care, disposition

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No. Subject Author Date Views
» Basic ICU Drhyo 2025.11.16 15
24 ICU rounds Drhyo 2025.11.16 14
23 ICU daily must to do Drhyo 2025.11.16 12
22 ICU Night Drhyo 2025.11.16 16
21 ICU Morning Checklist Drhyo 2025.11.16 15
20 ICU Pressors: Types, Doses, Receptors, Clinical Use Drhyo 2025.11.16 13
19 ICU pressors table Drhyo 2025.11.16 10
18 ICU Sedation Guide Drhyo 2025.11.16 18
17 ICU sedative, analgesics, paralytics table Drhyo 2025.11.16 17
16 Intubation Drhyo 2025.11.16 12
15 Thoracentesis Drhyo 2025.11.16 14
14 Paracentesis Drhyo 2025.11.16 17
13 ABG example Drhyo 2025.11.16 15
12 ABG Interpretation Drhyo 2025.11.16 15
11 Quick ICU ABG cause and treatment Drhyo 2025.11.16 13
10 High Anion Gap Metabolic Acidosis MUDPILES Drhyo 2025.11.16 13
9 NIV Drhyo 2025.11.16 13
8 ARDS Vent management Drhyo 2025.11.16 20
7 ICU EMPIRIC ANTIBIOTICS Drhyo 2025.11.16 17
6 ICU steroid use Drhyo 2025.11.16 14
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