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Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... criticalcare #treatment #workup
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... Ameliorate increased work ... oxygenation; remove work
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... Can be used in all ... comparison #table #pharmacology
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... in setting of shock ... 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
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Curvilinear Array for all ... Protocol #diagnosis #ultrasound ... #shock
Focused Assessment with Sonography for HIV/TB - The FASH Exam The main objective of the FASH exam
and pericardial effusions ... liver lesions – all ... Focused #Assessment #Ultrasound
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... visualization with use of ultrasound ... TIMI III flow in all ... #Cardiogenic #Shock
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Diagnosis and Workup ... Pre-Coronarv): Shock
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
fluid analysis in all ... accessible joint effusion ... typically part of the workup ... • Test all patients
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