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diagnosis differential causes classification criticalcare management overview chronic dry dyspnea elevated evaluation hyperpnea injury lactate lactic myocardial perioperative preop preoperative
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... warm #wet #dry #table
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
• Metabolic acidosis ... • Hypovolemic shock ... Severe kidney dysfunction ... Nervous System Dysfunction ... • Temperature/FEVER
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Differential Diagnosis Algorithm ... Myocardial • Systolic Dysfunction ... • Diastolic Dysfunction ... Artery Disease • Stable ... • Metabolic Acidosis
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... Renal: metabolic acidosis ... Ext: warm vs. cold ... /flank edema) Distributive
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... Renal: metabolic acidosis ... Ext: warm vs. cold ... /flank edema) Distributive
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Pain / Exercise, Fever ... Microcirculatory dysfunction ... Drugs/Toxins: - Propofol ... Mitochondrial dysfunction
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Metabolic (ie acidosis ... , Non-Vascular Distribution ... Occlusion • Stable
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction ... Stable patients
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