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criticalcare classification comparison management causes overview algorithm cardiogenic curves drugs elevated features findings guyton hypovolemic injury inopressors myocardial pharmacology sign
Shock - Findings, Signs and Symptoms by Classification - Hypovolemic (Intravascular volume depletion) - Distributive (Vasodilation)
Shock - Findings ... depletion) - Distributive ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... Intractable vomiting Distributive ... #Differential # ... #Table #CriticalCare
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
peritoneal, RP) Distributive ... Endocarditis - Post-MI ... LV outflow Obstruction ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
: cardiogenic, obstructive ... , distributive, ... ), LV Failure (MI ... Problem (↓ SVR): • DISTRIBUTIVE ... #diagnosis #differential
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Classification DISTRIBUTIVE ... CARDIOGENIC 16% • MI ... Cold and Wet OBSTRUCTIVE ... Classification #diagnosis ... #differential #
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Cardiogenic: Acute MI ... Pancreatitis • Obstructive ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... , S3, crackles Obstructive ... based on cause Distributive ... Diagnosis #table
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
/flank edema) Distributive ... post-ATN, post-obstructive ... O2 delivery • MI ... Classification #diagnosis ... #criticalcare #differential
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
/flank edema) Distributive ... post-ATN, post-obstructive ... O2 delivery • MI ... Classification #diagnosis ... #criticalcare #differential
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Diagnosis and Workup ... Pre-Coronarv): Shock ... , Non-Vascular Distribution ... /Trauma • No Obstruction ... Occlusion • Stable
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