Hyperacute Hypoxemia - Workup and Management

Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism, Pneumothorax, Alveolar Hemorrhage (DAH), Anaphylaxis

Targeted Exam: Mental Status, Volume Exam (JVP, edema), Lung Exam, POCUS (B-lines, lung sliding)

Diagnostics: STAT Labs (BMP, CBC, coags, BNP, Troponin), ABG, STAT CXR, CTA Chest, Echocardiogram, Bronchoscopy

Therapeutics: Airway, Circulatory Support, O2 Escalation, Tailored Therapy

 • Aspiration/PNA: antibiotics

 • Flash Edema: Lasix + BP control

 • Bronchospasm: Solu-Medrol, • stacked nebs

 • PE: anticoagulation

 • Anaphylaxis: 1M Epi, ± Solu-Medrol. Benadryl. PPI

Oxygen Therapy:

 • Low Flow

 • Reservoir

 • High Flow

 • NIPPV



Sophia Hayes MD @Sophia_Hayes_MD



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