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diagnosis causes algorithm cardiology classification foamed lactate pharmacology acidosis checklist clinical comparison icu lactic nephrology overview rhabdomyolysis sepsis sirs summary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Abdominal compartment syndrome ... Diagnosis #criticalcare ... #management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... anaphylaxis, release syndrome ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
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
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential ... guyton #curves #criticalcare
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
and Management ... infection SEPTIC SHOCK ... Patients w/ septic shock ... recognition and treatment ... #QSOFA #SIRS #criticalcare
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
Inflammatory Response Syndrome ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... #sirs #shock #lactate
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 ... #diagnosis #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic Shock ... Ischemia, Compartment Syndrome ... Malaria, Late Sepsis ... #Diagnosis #criticalcare
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