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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
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Sounds • Pulmonary ... Differential #Diagnosis #Algorithm ... #causes
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Differential #Diagnosis #Algorithm ... #shock #causes
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR, CO ... first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes
Shock - Pathophysiology Inadequate tissue perfusion to meet O2, nutrient requirements 1. Distributive Shock 2. Hypovolemic Shock 3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... differential #diagnosis #algorithm ... #causes
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO ... third-spacing • ↓ CO ... findings based on cause ... uw_IMresidency #Shock
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 Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... - Low CO and therefore ... - Low CO and therefore ... - Low CO and therefore ... #differential #causes
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