7 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Disease, Mechanical Defect ... • Obstructive: Pericardial ... tamponade, Pulmonary ... #inopressors #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
contractility) - Acute ... MI - Severe heart ... pulmonary embolism - Pericardial ... tamponade - Tension ... Classification #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
infarction Tamponade ... cardiomyopathy Acute ... Cardiogenic #Comparison #Table ... #Diagnosis #Features ... #Signs
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... pericarditis, Pericardial ... Tamponade ... - Pulmonary >> Acute
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
effusion or expanding ... pericardial effusion ... • Features of tamponade ... poor prognostic signs ... #differential #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... MI, arrhythmia ... tension PTX, cardiac tamponade ... #table #comparison
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
transmission, with acute ... and no apparent focus ... , pericardial effusion ... Shock evidenced ... classification #diagnosis