46 results
Checklist Approach to Undifferentiated Shock / Hypotension

#Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Checklist Approach ... Undifferentiated Shock ... Hypotension #Checklist ... Undifferentiated #Shock ... Diagnosis #Workup #Management
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... the 4 types of shock ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... inopressors #diagnosis #management ... #comparison #table
ETT depth may be predicted based on the patient’s height.  This has been validated among
by attaching a table ... to your airway checklist ... #Management #CriticalCare ... Intubation #Airway #Checklist ... #TidalVolumes #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... DrEricStrong #Shock ... Classification #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... treatment for acute MI ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... Vasopressors #Inotropes #management ... summary #comparison #table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... as for septic shock ... limit them as able ... #Pancreatitis #Checklist