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Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death Findings
Pulmonary Embolism ... Ratios for the ECG Components ... Predict Circulatory Shock ... #Embolism #AcutePE ... S1Q3T3 #Predictive #Diagnosis
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... contractility) - Acute ... MI - Severe heart ... flow) - Massive pulmonary ... Classification #Table
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Hypovolemic shock ... cardiomyopathy Acute ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... #Algorithm #shock
Pulmonary Histoplasmosis Syndromes - Acute - Subacute - Chronic - Progressive Disseminated https://pubmed.ncbi.nlm.nih.gov/32000281/ #Pulmonary #Histoplasmosis #Syndromes #diagnosis #comparison
Pulmonary Histoplasmosis ... Syndromes - Acute ... pubmed.ncbi.nlm.nih.gov/32000281/ #Pulmonary ... Histoplasmosis #Syndromes #diagnosis ... #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... heart failure, acute ... MI, arrhythmia ... #table #comparison
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... warm #wet #dry #table
Summary of Coagulation Deficiencies Inherited: • Hemophilia A - Deficiency of Factor VIII • Hemophilia B -
Post-partum • Acute ... DIC - Septic shock ... catastrophes, Acute ... Deficiencies #Summary #table ... #comparison #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... >> Acute PE, Tension ... - MI, arrhythmia ... #Diagnosis #Management
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