что такое город? (флуд из другой темы)

[Donat]

must've been septic...

Normal [CBC], on CXR some mild CHF, no infiltrates, 1d prior [U/A] was normal, Afebrile. But just in case anyway I gave her Tobra, Maxipime, Metronidazole.

[FOLEY]

Normal [CBC], on CXR some mild CHF, no infiltrates, 1d prior [U/A] was normal, Afebrile. But just in case anyway I gave her Tobra, Maxipime, Metronidazole.

why flagyl? she is not immunocompromised...

in any case...everything can be normal (cbc, duff, ua, etc) and the patient could still be septic

[Donat]

why flagyl? she is not immunocompromised...

in any case...everything can be normal (cbc, duff, ua, etc) and the patient could still be septic

To cover anaerobs for possible aspiration (if on portable CXR infiltrates are not seen)

[FOLEY]

To cover anaerobs for possible aspiration (if on portable CXR infiltrates are not seen)

clinda man, clinda! ;)

[Donat]

clinda man, clinda! ;)

They both cover anaerobes

[FOLEY]

They both cover anaerobes

yeas, but clinda is standard according to IDSA guidelines

anyway...whatever the antibiotic...sespsis would still be on top of my list in any ICU hypotension>expiration.

p.s. autopsy done?

[Donat]

yeas, but clinda is standard according to IDSA guidelines

anyway...whatever the antibiotic...sespsis would still be on top of my list in any ICU hypotension>expiration.

p.s. autopsy done?

no, relatives refused

[Malishka]

мне кажется что Фоля к Малышке переезжает...что у них секретный роман

ну дайте помечтать

Лучше пусть он мне зарплату перешлёт с новой рaботы:D :D :D

[FOLEY]

no, relatives refused

well...you've got three top candidates (sepsis, cerebral edema and bleeding retroperitoneally).

what goes against cerebral edema is the fact that her MS didn't change...or did it? was there an appropriate HR increase?

[Donat]

well...you've got three top candidates (sepsis, cerebral edema and bleeding retroperitoneally).

what goes against cerebral edema is the fact that her MS didn't change...or did it? was there an appropriate HR increase?

There is a h/o prior 5 ischemic CVA's, dementia, A-fib, CHF, s/p MI ....
MS did not change since admission... Just the same left gaze, no response to any stimuli.
Retroperitoneal bleed would be the last one on my list, but you never know. It's just guessing now.
Agree that septic shock is the most common cause of hypotension in ICU.