21 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... CARDIOGENIC 16% • MI ... Cold and Dry #Shock ... #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... a.k.a. neurogenic shock ... contractility) - Acute MI ... Differential #Diagnosis #Classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... of Shock Hypovolemic ... shock - Vomiting ... Endocarditis - Post-MI ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... meds • Other: AI ... O2 delivery • MI ... #Classification ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... meds • Other: AI ... O2 delivery • MI ... #Classification ... differential #causes #classification
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... ) Cardiogenic Shock ... #Cardiogenic #Shock
Normal urine output 
- 0.5 to 1.5 cc/kg/hour 
- A patient should be urinating at least
0.5 to 1.5 cc/kg ... hours - < 0.5 cc/kg ... children - < 1.0 cc/kg ... anuria #laboratory #shock ... #classification
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... telemetry, 12-Lead EKG ... • Obstructive Shock ... - MI, arrhythmia
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect (e.g ... Medication side effect (e.g ... Differential #Diagnosis #Classification
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... function tests if shock ... treatment for acute MI ... Checklist #CHF #Shock