40 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressin - Indication ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... #pharmacology #criticalcare
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Diagnosis and Workup ... #criticalcare # ... Shock
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... , HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... #pharmacology #indications
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... #Summary #criticalcare ... #treatment #workup
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
• Cushing's Syndrome ... • Acromegaly Medications ... Hyperglycemia (e.g ... Burns, Sepsis) • Shock ... endocrinology #causes
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Causes of Excessive ... Shift Work) Sleep ... Restless Legs Syndrome ... Hypoventilation Syndrome ... Anxiety Other • Medications
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... : Medications- ... hyperviscosity syndrome ... leukemia, myeloma, etc ... Priapism #Diagnosis #Management
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
respiratory tract (e.g ... has potential to cause ... • Workup • General ... #treatment #workup ... #pulmonary #criticalcare