19 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Distributive: • Sepsis ... Medication • Anaphylaxis ... Obstructive: • Cardiac ... #causes
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Low JVP • Sepsis ... • Anaphylaxis ... Pneumothorax • Cardiac ... #Hypotension #Differential ... Diagnosis #Algorithm #causes
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Volume x Peripheral Vascular ... Bradycardia (inadequate cardiac ... Afterload: • Sepsis ... • Anaphylaxis ... #diagnosis #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... tamponade, Vascular ... findings based on cause ... tone): • Sepsis ... . neurogenic, anaphylaxis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
(hypotension persisting ... ) or septic shock ... devices could have caused ... Consider monitoring cardiac ... Intraoperative #Checklist
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Distributive: Sepsis ... , Anaphylaxis, Adrenal ... Pneumothorax, Cardiac ... compartment syndrome, Vascular ... algorithm #treatment #management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... toxicity → 3-10 o Sepsis ... valvular problem ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... arrest trolley, anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Setup - Ultrasound ... Cardiac surgery? ... - Septic
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... • Pulmonary vascular ... severe pulmonary hypertension ... pneumothorax, cardiac ... Types #diagnosis #management