NurseDosePodcast
Region: US
Wednesday 03 December 2025 14:00:00 GMT
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user6484973266958 :
Looks like obstructive shock, in a patient with COPD should ask yourself about severe autopeep or tension PTX, if not then can move on to addressing the pHTN
2025-12-04 01:25:04
0
Abby :
Cor pulmonale from COPD induced pulmonary hypertension. Start inhaled epo via HFNC and potentially some milrinone depending on response
2025-12-05 09:02:45
0
AnaBustamante :
We have a pump problem, Dobutamine Gtt. Get a lactic , get fick and PaPi, consider an impella for support or if he has good veins/arteries ecmo team can be consulted .
2025-12-03 20:48:04
9
🖤MoodReaderChaos📚 :
This confirms I’m not ready for cvicu
2025-12-03 18:37:24
8
Mary Poppins :
Idk just gonna ask the doctor.
2025-12-04 03:14:29
1
The fabled librarian📚 :
I’m feeling like we need to get some Flolan on board💨
2026-04-30 22:38:16
0
MarvinTheMartian :
start inotrope. PAOP wnl, r/o overloaded. severe pHTN w/ elevated CVP. card shock w/ comp elevated SVR. milrinone 1st choice d/t pHTN but hypoTN, dobutamine then (?)
2025-12-03 14:40:59
3
Blackcloud! :
If the Bp was good I would have chosen milrinone but definitely Dobutamine.
2025-12-07 14:02:16
0
belzeubub :
What is ABG?
2025-12-03 21:53:29
0
Ashley :
Cardiogenic shock with pulmonary HTN. Inotrope + possible impella placement
2025-12-04 11:03:19
0
SafetyThird :
Inotrope. Output low, mixed venous low, wedge isn’t bad for an intubated patient without knowing their settings so wouldn’t reach for fluids first. Preload appears adequate. May need diuretics.
2025-12-03 15:42:13
4
Bikkah :
No thanks, I am staying in MICU
2025-12-05 03:26:11
0
res_0470 :
Pressors, inotropes, diuretics, and increase PEEP. Also, new studies show increased FiO2 can increase atelectasis so if the increased PEEP increases the SpO2 decease the FiO2.
2025-12-03 14:39:54
1
Frankie Hublot :
millie
2025-12-04 13:27:25
0
Zachary :
Flolan/nitric first to see if helps PAP. Then inotrope, milrinone first for increased svr
2025-12-03 15:55:50
2
Lex :
Diurese, potentially some Dobut
2025-12-03 14:30:09
2
kris12george :
Add some nitric or velitri
2025-12-03 18:05:17
0
Jham :
Inhaled nitric
2025-12-04 04:05:59
0
chelonia.mydas6 :
Inhaled Veletri
2025-12-04 16:06:48
0
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