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Critical Care Aspects  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shock - Objectives ,[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Distributive Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypovolemic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiogenic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obstructive Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shock  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shock – Case studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shock Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Shock – case study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Failure ,[object Object],[object Object],[object Object]
How to classify? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoxemic Respiratory Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypercapnic Respiratory Failure ,[object Object],[object Object],[object Object]
Hypercapnic Respiratory Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BIPAP ,[object Object],[object Object],[object Object],[object Object]
PEEP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case study 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study 3 ,[object Object],[object Object],[object Object],[object Object]
Ans. D ,[object Object],[object Object],[object Object]
Key Points ,[object Object],[object Object]
Case Study 4 ,[object Object],[object Object]
Ans. C ,[object Object],[object Object],[object Object]
Key point In patients with cardiogenic pulmonary edema, continuous positive airway pressure  (CPAP) and noninvasive positive pressure ventilation more rapidly improve dyspnea, vital signs and gas exchange, and avoid intubation more effectively than oxygen supplementation plus standard therapy.
Case Study 5 ,[object Object],[object Object]
Ans. B ,[object Object],[object Object],[object Object]
Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study 6 ,[object Object],[object Object]
Ans. A ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key Point In patients with acute lung injury/acute respiratory distress syndrome on mechanical ventilation with a lung protective strategy, positive end-expiratory pressure should be increased in 2- to 3-cm H2O increments to lower FIO2 to 60%, if possible, and to maintain an arterial oxygen saturation of at least 88% and 95% or less.
Case Study 7 ,[object Object],[object Object],[object Object]
Ans.C ,[object Object],[object Object],[object Object]
Acute Coronary Syndrome ,[object Object]
Acid – Base/ Electrolytes ,[object Object],[object Object]
GI Bleeding ,[object Object]
Neurological Emergencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Archer Critical care for USMLE Step 3

  • 1. Archer Critical Care Step 3 Archer USMLE reviews Visit us at www.ccsworkshop.com To receive more free videos, slides and questions, Like us on FACEBOOK at http://www.facebook.com/usmlegalaxy
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  • 36. Key point In patients with cardiogenic pulmonary edema, continuous positive airway pressure (CPAP) and noninvasive positive pressure ventilation more rapidly improve dyspnea, vital signs and gas exchange, and avoid intubation more effectively than oxygen supplementation plus standard therapy.
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  • 42. Key Point In patients with acute lung injury/acute respiratory distress syndrome on mechanical ventilation with a lung protective strategy, positive end-expiratory pressure should be increased in 2- to 3-cm H2O increments to lower FIO2 to 60%, if possible, and to maintain an arterial oxygen saturation of at least 88% and 95% or less.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.