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diagnosis criticalcare causes algorithm classification pediatrics table cardiology overview pharmacology treatment vasopressors bradycardia cardiomyopathy depressed dissection drugs encephalopathy hypotension hypotensive
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Marfans, EDS ... Pulse deficit/differential ... deficit • Shock ... Dissection #diagnosis #management
Causes of Depressed / Lethargic Newborn - Differential Diagnosis Algorithm Maternal Related: • Drugs (Ex. SSRI) •
Lethargic Newborn - Differential ... Aspiration • Sepsis ... • Anemia • Shock ... Lethargic #Newborn #Differential ... Algorithm #Causes #Peds
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... inopressors #diagnosis #management ... #comparison #table
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... #CriticalCare #Peds ... #Pediatrics #Sepsis ... #Management #StepWise
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... regurgitation • Aortic ... regurgitation • Aortic ... Afterload: • Sepsis ... #hypotensive #differential
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Dehydration Shock ... #Differential # ... algorithm #treatment #management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table #comparison
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... anaphylaxis, toxins/meds ... Classification #diagnosis #management ... #criticalcare #differential
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... Mechanical → severe aortic ... dissection of ascending aorta ... types #diagnosis #management ... #criticalcare #differential
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