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diagnosis criticalcare differential management pharmacology vasopressors cardiogenic cardiology differentiating drugs dry evaluation forrester inopressors inotropes perioperative preop preoperative risk stratification
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... DISTRIBUTIVE 66% ... pancreatitis), GI losses ... CARDIOGENIC 16% • MI, CHF ... #Types #Classification
Cardiogenic Shock Forrester Classification Table and Mortality - Warm & Dry (Forrester Class I) - Warm & Wet
Cardiogenic Shock ... Table and Mortality ... II) - Cold & ... Ill) - Cold & ... #CHF #Diagnosis
Shock Classification Types - Comparison Table JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Findings Hypovolemic Distributive ... #Types #Comparison
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Lactate > 1.5 Distributive ... Decompensated CHF ... Blood Loss, GI Losses ... Differential #Diagnosis #Types
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... failure, and death DISTRIBUTIVE ... • Most common type ... #Classification ... warm #wet #dry #table
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(distributive, ... Bradyarrhythmias, Some cases ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... • Distributive ... Arrhythmias / CHB ... diagnosis #management #comparison ... #table
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
/ Low SVR: • Distributive ... Medications, Spinal Cord ... Decompensated CHF ... Blood Loss, GI Losses ... #criticalcare #algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... ASA class If ... event, follow ACC algorithm ... Risk Stratify Type ... What is the type
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