7 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
, Acute Heart Failure ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... - Severe heart ... flow) - Massive pulmonary ... Classification #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... e.g., PE, right heart ... #Catheterization ... artery #catheter #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
) • Valvular heart ... cardiomyopathy • Pulmonary ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... during Delivery • Stable
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management ... cardiology #treatment #table