10 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... Ameliorate increased work ... oxygenation; remove work ... #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Can be used in all ... comparison #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... Inotropes #management #criticalcare ... comparison #table #pharmacology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... Diagnosis #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... Adequate perfusion ... essentially Cardiogenic Shock ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
its Chloride (Cl ... ECF and ICF both work ... blood flow and perfusion ... #foamed #criticalcare ... diagnosis #treatment #pharmacology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... time for coronary perfusion ... “one size fits all ... management #clinical #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... time for coronary perfusion ... “one size fits all ... foamed #algorithm #criticalcare