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diagnosis criticalcare algorithm cardiology pharmacology causes classification clinical foamed overview vasopressors aortic cardiomyopathy chf dissection drugs echocardiogram encephalopathy heartfailure icu
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
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Pediatric SVT - Management ... AP Stable? ... Signs of shock or ... #Algorithm #peds ... #Pediatric #treatment
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Treatment Goals ... #Differential # ... #management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
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 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
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... Pulse deficit/differential ... deficit • Shock ... Treatment - ED ... Dissection #diagnosis #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Eclampsia, Infection/Sepsis ... /Shock, Autoimmune ... Reversible course Differential ... epilepticus Treatment ... Syndrome #diagnosis #management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Pts: cardiogenic shock ... Delivery • Stable ... teratogenic GDMT meds ... #cardiology #treatment
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