16 results
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
- Pharmacology ... Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... #Pharmacology #
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... Adrenalin - "Epi" - ACLS ... ), Symptomatic bradycardia ... - Symptomatic bradycardia ... comparison #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... effects: Reflex bradycardia ... Can be used in all ... #Vasopressors #Inotropes ... comparison #table #pharmacology
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 ... Vasopressors, Inotropes ... criticalcare #treatment #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... SHOCK • Ensure ... Ameliorate increased work ... vasopressor or inotropic ... oxygenation; remove work
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Glucose/Temp • ACS ... blocking agent • Shock ... Sotalol • Propofol infusion ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large effusion ... (no B-lines on ultrasound ... Rx 4 — Consider inotrope ... considered a weak inotropic ... NSAlDs, ACE-inhibitors
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... or iatrogenic causes ... • Call for ultrasound ... • Inotropic ... Diagnosis #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Guidelines for Crises ... reservoir bag and APL ... rate, rhythm, perfusion ... Consider known drug causes ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... focus on improving perfusion ... vasopressors, or inotropes ... Reduced tissue perfusion ... lactate and can act