CICU Nursing Bundle
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Introduction to Cardiovascular Critical Care
Foundational principles of the cardiovascular ICU: hemodynamic monitoring, resuscitation, and the approach to the critically ill cardiac patient
CICU Rounding Structure
Lactate is a fuel, not a waste product, and the anion gap is an arithmetic residual rather than a measurement. Once you accept both statements, the situations where a high lactate comes with a normal gap, or a wide gap comes with a normal lactate, stop being paradoxes and start being diagnoses.
An evidence synthesis of 314 records on penicillins and acute kidney injury. The vancomycin/piperacillin-tazobactam creatinine signal is reproducible but largely not structural injury; the penicillin diseases that are real (immune interstitial nephritis and amoxicillin crystal nephropathy) are a different set of problems entirely.
System based notes and tips
Introduction to vasopressors and inotropes.