10 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... #pharmacology #comparison ... #shock #management
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... be used in all types ... #Vasopressors #Inotropes ... #comparison #table
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Table of how the 4 types ... of shock affect ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... #CriticalCare #Management ... #Pharmacology #Comparison ... #Inotropes
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... and etiology of shock ... inopressors #diagnosis #management ... #comparison #table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... vasopressors or inotropes ... #Algorithm #DCSI ... #Initiative #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
source of energy, conversion ... undifferentiated shock ... is in impending shock ... perfusion - shock ... vasopressors, or inotropes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... #differential #algorithm ... #management #cardiology
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
ICU • Consider inotropic ... Intubate • Consider inotropic ... CPR • Max 3 shocks ... Hypothermia #Protocol #management ... #treatment #algorithm