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ICU Survival guide - Upstate Medical University | SUNY ...

1 | Page 2018 SUNY Upstate Medical University ICU Survival guide Ravi Doobay, Subrat Khanal, Lauren Krowl, Ryan Dean, Prathik Krishnan, Hassan Al-Khalisy Brian Pratt, Ioana Amzuta, Carlos Martinez-Balzano, Amit S. Dhamoon 2 | Page The ICU can be an intimidating and stressful environment. This manual is intended to help support Medical students, interns, and residents working in the ICU. Please be mindful that this manual is a guide for care in the ICU. Clinical treatment decisions are variable and nuanced depending on patient, nursing, and attending factors. 3 | Page Table of Contents: Day MICU Expectations Page 4 Night MICU Expectations Page 5 Sepsis Page 6 Respiratory Failure Page 12 Mechanical Ventilation Page 14 Liberation from Mechanical Ventilation Page 15 COPD Page 17 Asthma Page 19 GI Bleeding Page 20 DKA/HHS Page 23 Aci

off (known as I-time). In spontaneous breathing the ratio of I-time and E-time is (I:E ratio) 1:2 -1:4, and this should be maintained in ventilated patients. In order to set the I:E ratio consider the rate of breaths per minute (for instance 20 BPM, 60

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