21 results
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and Inotropes ... Increases BP, SVR, CO ... first agent in shock ... line in septic shock ... contractility, CO
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... (mild ↑CO) - Side ... , Shock where ↑ ... #Vasopressors #Inotropes
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Distributive: • High CO ... , CVP > 12 • Pulmonary ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High CO ... Cord Injury Low CO ... • Obstructive: Pulmonary ... #criticalcare #algorithm
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
with cardiogenic shock ... or hypovolemic shock ... Advanced cardiogenic shock ... correlate in the SHOCK ... with cardiogenic shock
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... inadequate blood flow (CO ... Pump Problem (↓ CO ... Cardiac Tamponade, Pulmonary ... may develop low CO
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... - Distributive Shock ... Sounds • Pulmonary ... Differential #Diagnosis #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... Rx 4 — Consider inotrope ... considered a weak inotropic ... Checklist #CHF #Shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Differential #Diagnosis #Algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... Tamponade - Pulmonary ... Vasopressors, Inotropes