45 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... Obstructive: • Cardiac ... #Hypotension #Differential ... #Diagnosis #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... heart failure, acute ... #Differential # ... Diagnosis #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute ... #Differential # ... #Table #CriticalCare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... cardiomyopathy Acute ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... #inopressors #diagnosis ... #management #comparison ... #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... #NormalValues #Differential ... #Table #Chambers
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - Pulmonary >> Acute ... Cardiac surgery? ... #Diagnosis #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Pneumothorax, Cardiac ... #Differential # ... algorithm #treatment #management