14 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... inopressors #diagnosis #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
tachypnea with no respiratory ... 5) History of acute ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... Metabolic Acidosis, Respiratory
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... treatment for acute ... #HeartFailure #Cardiology ... #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... and positive end-expiratory ... pressure (PEEP) for pulmonary ... #Shock #Management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... BNP level <100 pg ... Etiology: • Acute ... respiratory distress ... differential #diagnosis #cardiology
Pharmacologic Management of ARDS

Acute Respiratory Distress Syndrome (ARDS) - Berlin Definition
Mechanical Ventilation - Minimizing "Baro trauma"
Fluid
Pharmacologic Management ... of ARDS Acute ... Respiratory Distress ... Neuromuscular Blockade Pulmonary ... #pulmonary
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... hypoxemia/mixed respiratorv ... overdose, massive PE ... , cardiogenic shock ... Oxygenation #diagnosis #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... respiratory symptoms ... to 12 weeks for acute ... fever • Septic shock ... Fungal #Diagnosis #Management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute ... pulmonary edema ... • Hypovolemic shock ... Diuresis #Nephrology #Pharmacology