22 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis, Anaphylaxis ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... management #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... (1st), Anaphylaxis ... summary #comparison #table ... #pharmacology #
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
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 ... Inotropes #comparison #table ... #pharmacology #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Sepsis. neurogenic, anaphylaxis ... release syndrome, infusion ... uw_IMresidency #Shock ... Differential #Diagnosis #table
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
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Diagnosis and Workup ... Pre-Coronarv): Shock ... Occlusion • Stable
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest trolley, anaphylaxis ... pack. ❸ Remove all ... as patient is stable ... Diagnosis #Management #Workup
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Female predominance Anaphylaxis ... , Hypotension, shock ... doi: 10.1111/all ... rheumatology #comparison #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... ) or IV saline infusion ... Causes #Screening #Workup ... #table