1. 1. Clinical Reasoning
1.1. Clinical Judgement
1.1.1. Recognizing Cues
1.1.2. Analyzing Cues
1.1.3. Prioritizing Hypotheses
1.1.4. Generating Solutions
1.1.5. Taking Actions
1.1.6. Aquiring the knowledge
1.1.6.1. Potential Complications
2. Potential Complications
2.1. 1. Impaired Oxygenation
2.1.1. Coronary Artery Disease
2.1.1.1. types:
2.1.1.1.1. Stable Angina
2.1.1.1.2. Acute Coronary Syndrome
2.1.2. Atrial Fibrillation
2.1.2.1. risk for:
2.1.2.1.1. cardioembolic stroke
2.1.2.1.2. tachycardia
2.1.2.2. Anticoagulants
2.1.2.2.1. risk for bleeding
2.1.2.3. GI Bleeding
2.1.2.3.1. core concept:
2.2. Aug27: 2. Infection and Sepsis
2.2.1. Sepsis
2.2.1.1. screening tools
2.2.1.1.1. SIRS
2.2.1.1.2. NEWS2
2.2.1.1.3. QSOFA
2.2.1.2. bed intervention:
2.2.1.2.1. positioning
2.2.1.2.2. oxygen
2.2.1.2.3. IV access
2.2.1.3. treatment:
2.2.1.3.1. IV fluid
2.2.1.3.2. Bedside collection of a appropriate samples depending on cues
2.2.1.3.3. Broad Spectrum Empiric Antibiotic Initially
2.2.1.4. Acid Base Measurement
2.2.1.4.1. Metabolic Acidosis
2.2.2. Septic Shock
2.2.2.1. diagnostic criteria
2.2.2.2. management
2.2.2.2.1. Vasopressors
2.2.2.2.2. Dobutamine
2.3. 3. Fluid Imbalances
2.3.1. key assessments:
2.3.1.1. Fluid Balance
2.3.1.2. Electrolytes
2.3.2. IV Fluid Therapy
2.3.2.1. 1. Sodium
2.3.2.2. 2. Potassium
2.3.2.3. 3. Oral Intake and Need for Glucose
2.3.2.4. 4. BP (degree if IV FVD)
2.3.2.5. rate and solution
2.3.3. Heart Failure: Chronic FVE
2.3.3.1. Left Heart Failure
2.3.3.1.1. treatment
2.3.3.2. Righut Heart Failure
2.3.3.3. Biventicular
2.3.3.4. "Congestive"
2.4. 4. Physical Injury
2.4.1. a. Altered Mobility
2.4.1.1. Falls
2.4.1.2. Impaired Skin Integrity
2.4.2. b. Delirium
2.4.3. c. High-risk Medication
2.5. 5. Malnutrition
3. I. Failure to Rescue
3.1. key factors:
3.1.1. Errors of omission
3.1.2. Failure to recognize significant
3.1.3. Failure to escalate
3.1.4. Ineffective decision making
3.2. prevent throught:
3.2.1. 1. Clinical Reasoning
3.2.2. 2. Decision making
3.2.3. 3. Communication
4. two core concepts:
4.1. Fluid Imbalance
4.1.1. Hydrostatic Pressure
4.1.2. Colloid Pressure
4.2. Capillary Bed Pressure
5. four core concepts:
5.1. Component of Perfusion Pressure (BP)
5.1.1. BP = CO x PR
5.1.2. CO = SV x HR
5.1.3. SV = P + A + C
5.2. Compensatory Mechanisms to maintain BP
5.2.1. ↓ Perfusion Pressure
5.2.1.1. Arteries
5.2.1.1.1. Baroreceprors
5.2.1.2. Kidneys
5.2.1.2.1. RAAS Activation
5.3. Myocardial Oxygen and Demand
5.3.1. components of O2
5.3.1.1. Supply
5.3.1.1.1. Oxygen Level in Blood
5.3.1.1.2. Artery Copliance
5.3.1.1.3. Heart Rate
5.3.1.2. Demand
5.3.1.2.1. Heart Rate
5.3.1.2.2. Contractility
5.3.1.2.3. Preload
5.3.1.2.4. Afterload
5.3.1.2.5. Myocardial Muscle Mass
5.4. Venous vs Arterial blood flow and effects of thromboembolism
5.4.1. Ciculatory System is divided into two main components:
5.4.1.1. Venus System
5.4.1.1.1. Systemic Circulation
5.4.1.2. Aterial System
5.4.1.2.1. Thrombi forming due to Atrial Fibrilation (clot forming in the heart)