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diagnosis management criticalcare cardiology treatment checklist algorithm anesthesia anesthesiology causes clinical comparison foamed intraoperative chf echocardiogram heartfailure inotropes nephrology summary
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 #
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... in refractory shock ... summary #comparison #table ... #pharmacology #
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Elevated Troponin Differential ... Diagnosis and Workup ... Pre-Coronarv): Shock ... Occlusion • Stable
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... release syndrome, infusion ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... Causes #Screening #Workup ... #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
UNDIFFERENTIATED SHOCK 1. Echo is a powerful differentiator 2. Echo ALL shock patients! Sam Ghali @EM_RESUS #Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Echo ALL shock patients ... Echocardiogram #Differential ... #Table #Undifferentiated ... #Shock #Examples
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 Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Glucose/Temp • ACS ... blocking agent • Shock ... Sotalol • Propofol infusion ... #Bradycardia #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... #diagnosis #differential ... cardiology #treatment #table ... icu #clinical #pharmacology
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