8 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... heart failure, acute ... Diagnosis #table #comparison ... #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... Cardiac surgery? ... #Summary #criticalcare
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway collapse ... exacerbation (cardiogenic ... COPD) • Other acute ... #indications #criticalcare ... #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... differential #algorithm #management ... #heartfailure #chf ... #criticalcare #