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diagnosis differential management clinical algorithm causes pocus cardiology criticalcare ultrasound table classification treatment pathophysiology septic pulmonary comparison echocardiogram peds ebm
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... Distributive: • High CO ... / Low SVR • Sepsis ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO ... third-spacing • ↓ CO ... Vascular tone): • Sepsis ... uw_IMresidency #Shock
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Lactate > 1.5 High CO ... Distributive: Sepsis ... Cord Injury Low CO ... Dehydration Shock
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... (1st line for septic ... shock (mild ↑CO ... (distributive, septic ... Some cases of septic
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... inadequate blood flow (CO ... Pump Problem (↓ CO ... DISTRIBUTIVE: Sepsis ... may develop low CO
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... - Low CO and therefore ... - Low CO and therefore ... - Low CO and therefore
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... - Low CO and therefore ... - Low CO and therefore ... - Low CO and therefore
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR, CO ... first agent in shock ... anaphylaxis, 2nd line in septic ... shock Vasopressin ... contractility, CO
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
PAP PCWP CO ... SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 1 ↑ Septic ... shock ↓ ↓ ↓
Initial Evaluation and Management of Septic Shock - Algorithm Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8 #Septic #Shock #Sepsis #management
Management of Septic ... Shock - Algorithm ... amzn.to/3rEtbK8 #Septic ... #Shock #Sepsis
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