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diagnosis differential management cardiogenic cardiology causes classification dcsi detroit elevation evaluation initiative lactate lactic perioperative preop preoperative prs renal risk
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Hypotension (<90/60) or the ... oliguria, lactic acidosis ... Obtain femoral arterial ... access (via direct
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... quantify renal injury ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
liver or renal injury ... perfusion - Cardiac ... output - Acute pulmonary ... B3: Hereditary Defects ... myopathies - Defects
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... algorithm to determine ... days before Pulmonary ... postoperative cardiac
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