10 results
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock ... #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... #Differential # ... Diagnosis #table #comparison ... #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential # ... causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential # ... causes #classification
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible Encephalopathy ... Infection/Sepsis/Shock ... Reversible course Differential ... the underlying cause ... Syndrome #diagnosis #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Rapid Response Management ... the underlying cause ... #criticalcare # ... encephalopathy # ... differential #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #diagnosis #differential ... #algorithm #management ... icu #clinical #pharmacology