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Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
to diagnosing sepsis ... and septic shock ... medical diagrams, tables ... algorithm #diagnosis #sepsis ... #shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Low JVP • Sepsis ... - Cardiogenic Shock ... #Hypotension #Differential
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... Distributive: • Sepsis ... • Neurogenic shock ... #Hypotension #Differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... #Vasopressors #shock ... management #comparison #table
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis: Sepsis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... TypeB #diagnosis #differential
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... Angiotensin - "Ang II" - Sepsis ... summary #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... DrEricStrong #Shock ... #Differential # ... Classification #Table
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... DISTRIBUTIVE 66% • Sepsis ... Cold and Dry #Shock ... Classification #diagnosis #differential
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