\documentclass[10pt,a4paper]{article}

% Packages
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\usepackage{multicol}           % Allows multicols in tables
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%\usepackage[utf8x]{inputenc}    % For unicode character support
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\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{currant}
\pdfinfo{
  /Title (icu.pdf)
  /Creator (Cheatography)
  /Author (currant)
  /Subject (ICU Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
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\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{ICU Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{currant} via \textcolor{DarkBackground}{\uline{cheatography.com/201777/cs/42750/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}currant \\
  \uline{cheatography.com/currant} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 18th March, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Normal Values}}  \tn
% Row 0
\SetRowColor{LightBackground}
Hb (g/L) & Normal: 70-100 \{\{nl\}\} Males: 135-180 \{\{nl\}\} Females: 115-160 \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Platelets (x10\textasciicircum{}9/L) & Normal: 140-400 \{\{nl\}\} Avoid P+V: \textless{}30 \{\{nl\}\} ?NP suction: \textless{}50-60 \{\{nl\}\} Weight lifting: \textgreater{}100 \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
INR & Normal: 1 \{\{nl\}\} Heart Valves: 2.5-3.5 \{\{nl\}\} DVT/PE/AF: 2-3 \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
INR & Normal: 1 \{\{nl\}\} Heart Valves: 2.5-3.5 \{\{nl\}\} DVT/PE/AF: 2-3 \tn 
% Row Count 13 (+ 3)
% Row 4
\SetRowColor{LightBackground}
BP \{\{nl\}\} MABP \{\{nl\}\} CVP & 90/60 - 140/90 \{\{nl\}\} 70-105 \{\{nl\}\} 5-15 \tn 
% Row Count 15 (+ 2)
% Row 5
\SetRowColor{white}
SIRS Criteria & WCC: \textless{}4 or \textgreater{}12 \{\{nl\}\} Temp: \textless{}36 or \textgreater{}38 \{\{nl\}\} HR: \textgreater{}90 \{\{nl\}\} RR: \textgreater{}20 or PaCO2 \textless{}32 \{\{nl\}\} SIRS: 2+/4 above \{\{nl\}\} Sepsis: SIRS+source infection \{\{nl\}\} Sepsis+: Sepsis+Org. Fail \tn 
% Row Count 23 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Neurological Values}}  \tn
% Row 0
\SetRowColor{LightBackground}
ICP (mmHg) & 0-15 \{\{nl\}\} TBI target \textless{}22 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
CPP & \textgreater{}60 \{\{nl\}\} CPP = MABP - ICP \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Upper Motor Neuron Lesions & \seqsplit{Weakness/Spasticity/Hypereflexia/Primitive} Reflexes \{\{nl\}\} Babinski sign \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
Lower Motor Neuron Lesions & \seqsplit{Weakness/Hypotonia/Hyporeflexia/Atrophy} \{\{nl\}\} Fasiculations \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.9908 cm} x{2.9862 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Sedatives}}  \tn
% Row 0
\SetRowColor{LightBackground}
Midazolam & Short acting, avoid due to delirium \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Morphine / Fentanyl (Opiod) & Also analgesic \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Propofol & Short acting, rapid onset of action, short term sedation \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
Dexmedetomidine & Used for pt who are difficult to wake due to agitation \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Inotropes/Vasopressor}}  \tn
% Row 0
\SetRowColor{LightBackground}
Noradrenaline (mcg/kg/min) & Vasopressor \{\{nl\}\} (\textgreater{}0.1) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Adrenaline (mcg/kg/min) & Vasopressor + Isotrope \{\{nl\}\} (\textgreater{}0.1) \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Dobutamine (mcg/kg/min) & Inotrope \{\{nl\}\} (5-10, \textgreater{}10 risk of arrhythmias) \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Vasopressin (units) & Increases BP by increasing renal fluid resorption + peripheral vasoconstriction \{\{nl\}\} (0.01-0.04) \tn 
% Row Count 11 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{MHI precautions}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{PEEP \textgreater{}10 +/- (FiO2\textgreater{}0.4)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Airborne or contact precautions} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{FiO2 \textgreater{}0.7} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Pulmonary compliance is low (compliance \textless{}40mL/cmH2O)} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Pulmonary bull or lung abscess -\textgreater{} CXR} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{MHI Contraindications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Highly infectious respiratory conditions} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{High frequency oscillating ventilation (HFOV)} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Severe bronchospasm or gas trapping} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Pneumothorax is present and is untreated (insertion of ICC)} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Frank hemoptysis is present} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.84149 cm} x{3.13551 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{MHI - Resp Considerations}}  \tn
% Row 0
\SetRowColor{LightBackground}
Patients WOB & Accessory muscle use \{\{nl\}\} Paradoxical breathing patterns \{\{nl\}\} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
CVL insertion & Withhold MHI until CXR -\textgreater{} ptx \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
ICCs & Review swinging, bubbling and drainage prior/after rx \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\seqsplit{Broncho-pleural} fistula & D/w ICU consultant \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{MHI - Haemodynamics Considerations}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Acute PE is present} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{BP is low (MABP\textless{}60) especially 1) labile BP 2) High vasopressor/inotropic) 3) acute resuscitation phases of septic shock or hypovalemic states} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{New arrhythmia (ok if present + controlled)} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{MHI - Neurological Considerations}}  \tn
% Row 0
\SetRowColor{LightBackground}
ICP & Is it being monitored, caution when CPP/ICP is labile \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Cerebral hemodynamics & Hypocapnia \textgreater{} vasoconstriction \textgreater{} dec. ICP \{\{nl\}\} Hypercapnia \textgreater{} vasodilation \textgreater{} inc. ICP \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
EVD & Should be clamped prior to MHI \tn 
% Row Count 9 (+ 2)
% Row 3
\SetRowColor{white}
Increase in ICP during MHI & Hyperventilate \textgreater{} hypocapnia \textgreater{} vasoconstriction \textgreater{} dec ICP \tn 
% Row Count 12 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Subjective Ax}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Heart and lungs: PMHx} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Post Op: nausea, vomiting, light-headedness, pain} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Resp: cough, sputum, wheeze, SOB, smk hx} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{PLOF: aids, ex-tolerance/limitation, indoor/outdoor, falls} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{SHx: home setup, occupation, children, hobbies} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.14471 cm} x{3.83229 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Objective Ax}}  \tn
% Row 0
\SetRowColor{LightBackground}
Resp: & Cough, sputum, palpate, auscultation \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Neuro: & Sensation (light touch, pain), power \{\{nl\}\} UMN: spasticity, babinski, clonus, hyperreflexia \{\{nl\}\} LMN: hypotonia, hyporeflexia, atrophy, fasciculations \tn 
% Row Count 8 (+ 6)
% Row 2
\SetRowColor{LightBackground}
MSK: & MMT, atrophy \tn 
% Row Count 9 (+ 1)
% Row 3
\SetRowColor{white}
\seqsplit{Function:} & Sitting balance, etc \tn 
% Row Count 10 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Gait: & As appropriate \tn 
% Row Count 11 (+ 1)
% Row 5
\SetRowColor{white}
\seqsplit{Circulation:} & DVT, Cap refill \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Room Prep}}  \tn
% Row 0
\SetRowColor{LightBackground}
Where are we going/what do we need & Chair, IV pole, sheet, aid, which side \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Do we need to monitor & Yes/No - what do we need \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Bed Space & Wires, chairs, drains \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
Attachments & Drains, monitoring, CVL, art line, EVD?, Femoral art line? \tn 
% Row Count 8 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}