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diagnosis criticalcare causes classification lactate overview pharmacology sepsis sirs table acidosis algorithm aortic cardiology cardiomyopathy criteria dissection drugs elevation encephalopathy
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... Angiotensin - "Ang II" - Sepsis ... @EmmGeezee #Vasopressors ... #Inotropes #management ... criticalcare #summary #comparison
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis ... hasankazmi01 #Vasopressors ... inopressors #diagnosis #management ... #comparison #table
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... hypotension (requiring vasopressors ... recognition and treatment ... resuscitation 3 Vasopressor
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... antibiotics ASAP • Vasopressors ... #sirs #shock #lactate
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Treatment Goals ... #Differential # ... #management
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... ->treatments include ... administration, vasopressors ... before beginning treatment ... Acidosis #Elevation #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
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