Prepared by residents and faculty at the Washington University School of Medicine, this pocket manual contains easy-to-read algorithms for the management of more than 80 medical and surgical problems arising in the intensive care unit. Chapters focus on specific problems and the algorithms provide straightforward approaches to the management of these issues. Coverage includes a section on procedures commonly performed in the intensive care unit. Appendices include common equations in the ICU, drug-drug interactions, and common drug dosages and side effects. Table Of Contents MANAGEMENT OF SHOCK Introduction to Shock Hypovolemic Shock Septic Shock Cardiogenic Shock Anaphylactic Shock Mechanical Causes of Shock MANAGEMENT OF RESPIRATORY DISORDERS Introduction to Respiratory Disorders Initial Ventilator Set Up Acute Airway Obstruction Acute Respiratory Distress Syndrome Status Asthmaticus Acute Exacerbation Sleep Apnea Obesity-Hypoventilation Syndrome Pulmonary Hypertension and Right Heart Failure Pleural Disorders Weaning of Mechanical Ventilation Mask Positive Pressure Ventilation CARDIAC DISORDERS Acute Myocardial Infarction Arrhythmias and Conduction Abnormalities Aortic Dissection Congestive Heart Failure Hypertensive Emergencies ELECTROLYTE ABNORMALITIES Electrolyte Abnormalities ACID-BASE DISORDERS Metabolic Acid-Base Disorders Respiratory Acid-Base Disorders ENDOCRINE DISORDERS Thyroid Disorders Adrenal Insufficiency DKA Nonketotic Hyperosmolar State Glycemic Control ONCOLOGIC EMERGENCIES Oncologic Emergencies TEMPERATURE REGULATION Temperature Regulation TOXICOLOGY Toxicology INFECTIOUS DISEASES Meningitis Community-Acquired Pneumonia Nosocomial Pneumonia Cellulitis Fasciitis Myositis Bacteremia Catheter-Associated Infection Invasive Fungal Infection Infection in the Immunocompromised Host Prevention of Infection in the ICU RENAL DISORDERS Acute Kidney Injury Renal Replacement Therapy HEPATIC DISEASES Acute Fulminant Hepatic Failure Hyperbilirubinemia End-Stage Liver Disease GASTROINTESTINAL DISORDERS Upper GI Bleeding Lower GI Bleeding Pancreatitis NEUROLOGIC DISORDERS Status Epilepticus Acute Stroke Increased Intracranial Pressure Subarachnoid Hemorrhage Intracranial Bleed Coma Declaration of Brain Death Delirium/Agitation in the ICU C-Spine Injury Paralysis Cord Compression Neuromuscular Weakness Traumatic Brain Injury CNS Infections HAEMATOPOIETIC DISORDERS Thrombocytopenia Acute Management of the Bleeding Patient Coagulopathy Transfusion Practices Hypercoagulable States PREGNANCY Eclampsia/Preeclampsia SURGICAL PROBLEMS Trauma ATLS Acute Abdomen Management of the Organ Donor NUTRITION IN THE ICU Nutrition in the ICU PROCEDURES Arterial Line Central Venous Catheter Tracheal Intubation Tracheostomy Tube Thoracostomy Paracentesis Lumbar Puncture Thoracentesis Pulmonary Artery Catheter Pericardiocentesis END OF LIFE ISSUES End of Life Issues APPENDICES Common Equations in the ICU Drug-Drug Interactions Common Drug Dosages and Side Effects