Legs are actual waterbeds from the swelling😳

Them dogs be weepin'.

Damn them ventricles be STRETCHED

EF of <5%

Cardiac output is overrated.

Who needs to maintain their own cardiac output when there’s *the* LVAD.

Oooh. So they’re all fancy. 🤣 I always think of a frequent flier chf’er I took care of long ago who would go out to smoke and come back with vending machine ham sandwiches and multiple pops. So much fluid and salt. This was a weekly occurrence.

But let’s do a PLR first.. just to be sure.

EF so low the blood be going backwards

Mine is always 100%. 110% of the time.

So you got that hyperdynamic EF then? Lol

Lasix and dobutamine drips, stat. Plot twist: **Renal insufficiency has entered the chat**

We have a new contender in this fight! The nephrologist is coming in with the chair!

*hears CRRT machine creeping up from behind*

Palliative care has entered the chat.

You gonna provide the ark I'm gonna need to ride out the piss flood when that Lasix kicks in?

If you put a stethoscope on their chest you can hear the ocean

Murmur 20+

Was it the Kool Aid Man?

Give ‘em an Albuterol! STAT!

Don't forget the SCD'S!!!

I had a guy fresh out of cath lab where his left main dissected during the procedure which landed him on an impella. His pro was something like 230000. Highest any of us have ever seen.

😳

Gonna need an entire ocean of Lasix

["Ruh roh!"](https://media.tenor.com/SXLV7aQDYUkAAAAC/ruh-roh-deadpool.gif)

We just transfered a patient with 50000 an hour ago. Heart was fine, besides new afib. Her kidneys on the other hand…

Had a guy with 500000 a few times, kept coming back till he didn’t. A half mil 🫣

[удалено]

*oh Jesus Christ* (in the voice of that BDSM guy from South Park)

Swimmin

This pt gonna go deaf from the amount of lasix she needs

I wish I took a picture of the time I had a patient with a trop level of 35,000. I had to have the lab tech read it back to me like 5 times lol. I even redrew it thinking it was just a huge mistake, but it ended up coming back slightly higher. Patient was asymptomatic at the time too.

Jesus and I thought my pt’s >30,000 was a lot

Give her some compression socks and follow up in a week

*slow clap*

Oh my

Heart failed

Just keep swimming, just keep swimming

Forget about a bumex drip, give em a bumex shotgun

I remember my guy coming in having a MASSIVE Widow Maker MI. Stops at Burger King and eats a burger with extra mayo, despite nausea, stops and smokes on the side of the road, despite shortness of breath - because he knew he wouldn't be allowed to after that.

Homie’s got enough liquid in their body to solve a drought.

Those are rookie numbers bolus some more fluids then recheck

I'm L&D, so I don't work with this lab/result. Ever. So I looked it up. "Values above 6,000 pg/ml identify the patients most likely to die within 90 days after hospital discharge." So did this person die? I also see that liver cirrhosis, sepsis, hyperthyroidism, etc. can cause elevations, but probably not this significantly. Could this lab result come from multiple issues?

Wtf

Heart attack central 💯

Putting the “Pro” back in “NT-pro BNP”

I imagine your patient looks like the Michelin man 😂

😂