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management differential anesthesia anesthesiology checklist workup algorithm cardiology criticalcare clinical comparison hypotension treatment classification echocardiogram foamed pharmacology signs abnormalities allergy
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Diagnosis Algorithm ... Sepsis • Anaphylaxis ... Pneumothorax • Cardiac ... #Differential #Diagnosis ... #Algorithm #causes
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Medication • Anaphylaxis ... Obstructive: • Cardiac ... #Differential #Diagnosis ... #causes
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Hypovolemic shock ... Adrenal crisis - Anaphylaxis ... - Post-cardiac ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... - Septic - Anaphylaxis ... exacerbation (any cause ... #Differential #Diagnosis ... Classification #Table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... #table #comparison
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... : bradycardia, shock ... leads, cyanosis, cardiac ... Gastrointestinal - Nausea ... cessation of play #Diagnosis
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... as patient is stable ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
- Differential Diagnosis ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... followed by rapid collapse ... #Algorithm #causes
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... ) or septic shock ... Consider monitoring cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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