How would you approach this case?
A little similar to thread below but would like you opinions! Learning a lot from these boards even after residency!
Alone at night, patient brought in from nursing home,, 75 yo M 70kg ESRD, HTN, A fib on eliquis, DM, CAD LAD stent 10 yrs ago, CHF EF 10% on coreg, mod MR, mod TR , dementia, severe pHTN, reduced RV function w severely elevated CVP, fell, now w slowly expanding thigh hematoma needs to be drained. No detailed info/cath regarding CAD.
Vitals normal/stable after 2 unit...
How would you approach this case? (Source: Student Doctor Network)
Source: Student Doctor Network - August 24, 2019 Category: Universities & Medical Training Authors: anbuitachi Tags: Anesthesiology Source Type: forums
"Hemodynamically Benign" RSI
Hi. IM/CCM here. I thought about posting this in CCM but wanted an anesthesiology opinion (or a few): called in the middle of the night to see a (strong/hearty) 82 y/o man with 1.5 liters of coffee ground liquid in his newly placed NG tube. HR 70s (but on Coreg), 80s/50s, mildly tachypneic, 7.34/48/62/17 with a lactate of 8. Bolus 1 liter of LR and 2 units prbc with BP to 122/70. He was struggling to I decided to intubate urgently in anticipation of EGD. RSI with 1 mg versed, 100 mg ketamine...
"Hemodynamically Benign" RSI (Source: Student Doctor Network)
Source: Student Doctor Network - December 18, 2016 Category: Universities & Medical Training Authors: sluggs Source Type: forums
Low blood pressure due to Carvedilol
Forum: Health
Posted By: Dumachi
Post Time: 25-01-2014 at 00:41 (Source: The Student Room)
Source: The Student Room - January 25, 2014 Category: Universities & Medical Training Source Type: forums
Can we prevent chemo related cardiac damage?
I think this study is very exciting- Enalapril and carvedilol for preventing chemotherapy-induced left ventricular systolic dysfunction in patients with malignant hemopathies: The OVERCOME trial. J Am Coll Cardiol 2013; DOI: 10.1016/j.jacc.2013.02.072. Available here. In patients with haematological maligancies pretreatment with enalapril and carvedilol appears to ameliorate the reduction in LV ejection fractionBUT it is only a small study with a small change in EF so I guess we need a larger study but certainly appears promising!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 15, 2013 Category: Cardiology Authors: sadian Source Type: forums
What is the action of carvedilol in heart faliure?
A patient with heart faliure was given Carvedilol. Is there a special pharmacological basis on doing so/ (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - January 19, 2013 Category: Cardiology Authors: Kumee Source Type: forums
