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Decisions around Intensive care admission

Mohammed Nazal 14M081. Decisions around Intensive care admission. Contents. Admission Criteria Respiratory Critical Care Cardiac Arrest Neurologic Critical Care Oncologic Emergencies. Admission Criteria. Intensive Care Units High-Dependency Units. ICU.

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Decisions around Intensive care admission

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  1. Mohammed Nazal 14M081 Decisions around Intensive care admission

  2. Contents • Admission Criteria • Respiratory Critical Care • Cardiac Arrest • Neurologic Critical Care • Oncologic Emergencies

  3. Admission Criteria • Intensive Care Units • High-Dependency Units

  4. ICU • Endotracheal intubation and invasive mechanical ventilatory support • Support of two or more organ systems • Chronic impairment of one or more organ systems who require support for acute reversible failure of another organ

  5. HDU • Detailed observation or monitoring that cannot be provided at ward level - Direct arterial BP monitoring - CVP monitoring - Fluid balance - Neurological observations - Regular GCS recording

  6. Support for a single failing organ system, excluding invasive ventilatory support : - CPAP or NIV - Moderate inotropic or vasopressor support - Renal replacement therapy • Step down from intensive care

  7. Respiratory Critical Care • Shock • Respiratory Failure

  8. Cardiac Arrest • Cardiogenic Shock • Pulmonary Edema • Acute MI • Cardiovascular Collapse • Cardiac Arrest

  9. Neurologic Critical Care • Coma • Encephalopathy • Subarachnoid Haemorrhage

  10. Oncologic Emergencies • Pressure or Obstruction caused by space occupying lesion - Superior Vena Cava Syndrome - Pericardial Effusion - Intestinal Obstruction - Urinary Obstruction - Malignant Biliary Obstruction - Spinal Cord Compression - Increased Intra Cranial Pressure - Neoplastic Meningitis - Seizures

  11. Metabolic or Hormonal problems - Hypercalcemia - SIADH - Lactic Acidosis - Hypo glycemia - Adrenal Insufficiency • Treatment related complications

  12. Treatment related complications - TumorLysis Syndrome - Human Antibody Infusion Reactions - Hemolytic-Uremic Syndrome - Neutropenia and Infection - Pulmonary Infiltrates - Haemorrhagic Cystitis - Hypersensitivity Reactions to Antineoplastic Drugs

  13. Reference • Davidson’s Principles & Practice of Medicine • Harrison’s Principles of Internal Medicine

  14. THANK YOU

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