12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis ... Pericardial tamponade, Pulmonary ... hasankazmi01 #Vasopressors ... inopressors #diagnosis #management ... #comparison #table
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
indicates high risk ... Septic Shock • ... >2 mmol/L Management ... antibiotics ASAP • Vasopressors ... #sirs #shock #lactate
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... - Risk Stratification ... features • Bova ... Transient Hypotension, Shock ... prognostication #diagnosis #management
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
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• Septic shock ... with Shock: Sepsis ... • Risk factors ... • Vasopressors ... #Septic #Shock
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Increases BP, SVR • Risk ... first agent in shock ... anaphylaxis, 2nd line in septic ... shock Vasopressin ... Pharmacology #Summary #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Tamponade - Pulmonary ... - Septic ... Neurogenic >> Vasopressors ... #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... pressure (PEEP) for pulmonary ... • Begin vasopressor ... SEPTIC SHOCK • ... #Shock #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... strategy as for septic ... shock (e.g. moderate ... amount fluid, vasopressors ... increase the risk
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MUCORMYCOSIS • Risk ... Isolated fever • Septic ... shock • Mortality ... • Meningitis, septic ... Fungal #Diagnosis #Management