12 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Examine for a cause ... Diagnosis and Workup ... Hypotension #Management #criticalcare ... #Shock
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... comparison #table #pharmacology ... #criticalcare
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... • Periodic paralysis ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... over-diuresis, dialysis ... management #Overview #criticalcare ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... over-diuresis, dialysis ... management #Overview #criticalcare ... #differential #causes
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... SHOCK • Ensure ... Ameliorate increased work ... oxygenation; remove work ... #CriticalCare
Arterial Lines & Waveforms
Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
sampling, and analysis ... cardiac output shock ... intrathoracic pressure and causes ... #calibration #criticalcare
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Familial periodic paralysis ... intracranial pressure • Dialysis ... Kidney stones caused ... • Hypovolemic shock ... Diuresis #Nephrology #Pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
ECF and ICF both work ... K+ in the ECF causes ... possibly requiring dialysis ... #foamed #criticalcare ... diagnosis #treatment #pharmacology