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Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Diagnosis SHOCK ... Sophia_Hayes_MD #Shock ... Classification #Differential
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO ... third-spacing • ↓ CO ... uw_IMresidency #Shock ... #Differential #
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Lactate > 1.5 High CO ... Cord Injury Low CO ... Dehydration Shock ... #Differential #
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... inadequate blood flow (CO ... Pump Problem (↓ CO ... may develop low CO ... #diagnosis #differential
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 ... #criticalcare #differential
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 ... #criticalcare #differential
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR, CO ... first agent in shock ... Increases HR, SVR, CO ... line in septic shock ... contractility, CO
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... line for septic shock ... ), Cardiogenic shock ... (mild ↑CO) - Side ... , Shock where ↑
DO2 Equation in Shock = Oxygen Delivery DO2 = CO x (1.39 x [Hb] x SaO2 +(0.003xPaO2)) DO2
DO2 Equation in Shock ... Delivery DO2 = CO ... ml per minute) CO ... DO2 #Equation #Shock
Shock - Pathophysiology Inadequate tissue perfusion to meet O2, nutrient requirements 1. Distributive Shock 2. Hypovolemic Shock 3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... Cardiogenic Shock ... #differential #
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