31 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Distributive: • High CO ... Failure, Toxins/Medications ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High CO ... Failure, Toxins/Medications ... Cord Injury Low CO ... #criticalcare #algorithm
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 #Diagnosis #table
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 ... thyrotoxicosis), Medications
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Distributive Shock ... Compartment Syndrome, Medications ... Protein) • AIN: Medication ... Neurogenic Bladder (Medication ... nephrology #causes #algorithm
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Increases BP, SVR, CO ... first agent in shock ... line in septic shock ... contractility, CO ... Summary #management #medications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... ), Cardiogenic shock ... (mild ↑CO) - Side ... , Shock where ↑ ... Inotropes #comparison #table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis Algorithm ... pancreatitis • Medication ... Differential #Diagnosis #Algorithm ... #shock #causes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... summary #comparison #table ... #pharmacology #indications
Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
sepsis and septic shock ... medical diagrams, tables ... #algorithm #diagnosis ... #sepsis #shock