Table of Contents

Part I: Assessment and Triage

1. Physical examination

2. Patient triage

3. Survival prediction index

Part II: Frequently Encountered Problems in the Intensive Care Unit

4. Cardiopulmonary resuscitation

5. Fever

6. Hypotension

7. Oliguria

8. Deteriorating mental status

9. Tachypnea and hypoxemia

10. Shock

11. Systemic inflammatory response syndrome (SIRS)

12. Nosocomial infections and zoonoses

13. Enteral nutrition

14. Parenteral nutrition

Part III: Respiratory Disorders

15. Respiratory failure

16. Upper airway disease

17. Endotracheal intubation

18. Tracheostomy

19. Oxygen therapy

20. Allergic airway disease and asthma

21. Pulmonary edema

22. Pneumonia

23. Aspiration pneumonitis and pneumonia

24. Acute lung injury and acute respiratory distress syndrome

25. Pulmonary contusions and hemorrhage

26. Ventilator associated lung injury

27. Pulmonary thromboembolism

28. Smoke inhalation

29. Atelectasis

30. Pleural space disease

31. Thoracocentesis

32. Thoracostomy tube placement and drainage

33. Chest wall disease

34. Non-respiratory “look-alikes”

Part IV: Cardiovascular Disorders

35. Cardiogenic shock

36. Left ventricular failure

37. Feline cardiomyopathy

38. Canine cardiomyopathy

39. Valvular heart disease

40. Myocardial contusion

41. Myocardial infarction

42. Hypertensive crisis

43. Pericardial diseases

44. Pericardial tamponade

45. Bradyarrhythmias and conduction disturbances

46. Supraventricular tachyarrhythmias

47. Ventricular tachyarrhythmias

48. Myocarditis

49. Arterial catheterization

50. Pulmonary arterial catheterization

51. Temporary transvenous pacing

52. Trancutaneous pacing

53. Cardioversion and defibrillation

Part V: Electrolyte and Acid-Base Disturbances

54. Sodium disorders

55. Potassium disorders

56. Calcium disorders

57. Magnesium disorders

58. Phosphate disorders

59. Acid-base disturbances

60. Lactic acidosis

Part VI: Fluid Therapy

61. Peripheral venous catheterization

62. Intraosseous catheterization

63. Central venous catheterization

64. Daily intravenous fluid therapy

65. Shock fluids and fluid challenge

66. Transfusion medicine

Part VII: Endocrine Disorders

67. Diabetic ketoacidosis

68. Hyperglycemic hyperosmolar syndrome

69. Hypoglycemia

70. Diabetes insipidus

71. Syndrome of inappropriate antidiuretic hormone

72. Thyroid storm

73. Myxedema coma

74. Pheochromocytoma

75. Relative Adrenal insufficiency

76. Hypoadrenocorticism

Part VIII: Intoxications

77. Approach to poisoning and drug overdose

78. Ethylene glycol

79. Acetominophen and salicylates

80. Illicit drugs

81. Rodenticides

82. Sedative, muscle relaxant, and narcotic overdose

83. Calcium channel and beta-block drug overdose

84. Digoxin overdose

85. Cyanide

86. Carbon monoxide

87. Methemoglobinemia

88. Cyclic antidepressant drug overdose

89. Anticholineric poisonings

90. Serotonin syndrome

91. Anticholinesterase toxicity

92. Ivermectin toxicity

93. Pyrethrins

94. Snake envenomation

95. Spider bite

Part IX: Neurologic Disorders

96. Coma scales

97. Seizures and status epilepticus

98. Spinal cord injury

99. Intracranial hypertension

100. Lower motor neuron disease

101. Tetanus

102. Hepatoencephalopathy

103. Vestibular disease

104. Cerebrospinal fluid sampling

Part X: Infectious Disorders

105. Sepsis

106. Septic shock

107. Gram-positive infections

108. Gram-negative infections

109. Fungal infections

110. Viral infections

111. Canine parvovirus

112. Endocarditis

113. Urosepsis

114. Necrotizing soft-tissue infections

115. Catheter-related bloodstream infection

116. Hematologic Disorders

117. Hypercoagulable states

118. Bleeding disorders

119. Thrombocytopenia

120. Anemia

121. Acute hemolytic disorders

122. Blood smear evaluation

Part XI: Intra-abdominal Disorders

123. Acute abdominal pain

124. Acute pancreatitis

125. Acute cholecystitis

126. Hepatitis and cholangiohepatitis

127. Hepatic failure

128. Gastroenteritis

129. Motility disorders

130. Gastrointestinal hemorrhage

131. Vomiting and Regurgitation

132. Diarrhea

133. Peritonitis

134. Gastric dilatation volvulus and bloat

Part XII: Urogenital Disorders

135. Acute renal failure

136. Chronic renal failure

137. Hemodialysis and Peritoneal dialysis

138. Urinary catheterization

139. Pyometra

140. Dystocia and Obstetric crises

141. Paraphimosis and priapism

142. Mastitis

Part XIII: Surgical and Postoperative Conditions

143. Preoperative evaluation of the critically ill patient

144. Postoperative evaluation of the critically ill patient

145. Post-craniotomy management

146. Portosytemic shunt management

147. Peritoneal drainage techniques-

148. Post-thoracotomy management

149. Post-cardiac surgery management

150. Post-cardio-pulmonary bypass management

151. Kidney transplantation

Part IV: Trauma

152. Traumatic brain injury

153. Thoracic trauma

154. Abdominal trauma

155. Abdominocentesis

156. Diagnostic peritoneal lavage

157. Wound management

158. Thermal burn injury

159. Electrical and lightning injuries

160. Massive transfusion

Part XV: Anesthesia and Pain Management

161. Pain and sedation assessment

162. Sedation of the critical patient

163. Anesthesia of the critical patient

164. Analgesia and continuous rate infusions

165. Complementary and alternative therapies

Part XVI: Miscellaneous Disorders

166. Hypothermia

167. Heat stroke

168. Anaphylaxis

169. Near drowning

170. Fat embolism

171. Tumor lysis syndrome

172. Ocular disease in the intensive care unit

173. Air embolism

174. Critical pediatric patients

175. Critical geriatric patients

Part XVII: Pharmacology

176. Vasoactive catecholamines

177. Vasopressin

178. Antihypertensives

179. Nitroglycerin

180. Diuretics

181. Gastrointestinal protectants

182. Anti-emetics

183. Neuromuscular blockers

184. Narcotic agonists and naloxone

185. Benzodiazepines and flumazenil

186. Anticonvulsants-

187. Anticoagulants

188. Thrombolytic agents

189. Digoxin

190. Antidysrhythmic agents

191. Beta blockers

192. Inhaled medications

193. Complications of chemotherapeutic agents

194. Principles of antimicrobial use

195. Penicillins and cephalosporins

196. Aminoglycosides

197. Fluoroquinolone

198. Macrolides

199. Antifungal therapy

200. Miscellaneous antibiotics

Part XVIII: Monitoring

201. Daily assessment of the critical patient

202. Nutritional assessment

203. Hemodynamic monitoring

204. Urine output

205. Colloid osmotic pressure and osmolality

206. Intraabdominal pressure

207. Capnography

208. Blood gas and oximetry monitoring

209. Intracranial pressure monitoring

210. Sedation monitoring

211. Electrocardiogram evaluation

212. Cardiac output monitoring

Part XIX: Mechanical Ventilation

213. Basic mechanical ventilation

214. Advanced mechanical ventilation

215. Jet ventilation

216. Care of the ventilator patient

217. Discontinuing mechanical ventilation

Appendix

Conversion tables

Calculations and continuous rate infusions

Reference ranges

Management of the critical care unit