#NewProfilePic

ICU Facts: I am neither a nephrologist not a hepatologist but I don't think I am too far from truth if I say that hepatorenal syndrome (HRS) is one of the most misused & misunderstood diagnoses in the ICU

🦶Gout Management nejm.org/doi/full/10.10… NEJM

POSSIBLE COMPLICATION OF SEPSIS ; Respiratory failure Cardiac failure Renal failure Hepatic failure Shock DIC Death

FEATURES Characterizing LIFE THREATENING ASTHMA ATTACK Poor respiratory effort Cyanosis Silent chest Hypotension Arrhythmia Exhaustion Reduced conscious level PEFR <33% of best/predicted SpO2 <92% PaO2 <8 kPa Normal PaCO2 = 4.6-6.0 kPa