11 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... Can be used in all ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
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
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Adrenalin - "Epi" - ACLS ... Inotropes #management #criticalcare ... summary #comparison #table ... #pharmacology #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... release syndrome, infusion ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
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
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
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... limit them as able ... Diagnosis #Management #CriticalCare
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
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 ... are typically able ... time for coronary perfusion ... “one size fits all ... management #clinical #criticalcare