150 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... of Shock HEMORRHAGIC ... SHOCK • Ensure ... #Shock #Management
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Signs of shock or ... 2 J/kg - Dr. ... #tachycardia #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... possible w/ early shock ... telemetry, 12-Lead EKG ... #Diagnosis #Management
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• 49 million cases ... COMMON CAUSES + ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... #Diagnosis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... Pulmonary edema, Shock ... Salicylate Level: 150mg/kg ... Management:
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... characterized by shock ... GAS in 30% of cases ... on day 1, 0.5g/kg ... STSS #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - EKG ... function tests if shock ... HeartFailure #Cardiology #Management
Paucis Verbis card: Early goal directed therapy
April 16th, 2010 | ALiEM Cards, Infectious Disease 
By: Michelle
April 16th, 2010 | ALiEM ... sepsis and septic shock ... #Management #SepsisBundle ... Protocol #Algorithm #ALiEM