14 results
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... 2) Subsequent ICU ... #Shock #Algorithm ... #CriticalCare # ... Peds #Pediatrics #Sepsis
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(1st line for septic ... (distributive, septic ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
SHOCK is a subset ... shock are identified ... Clinical construct ... #QSOFA #SIRS #criticalcare ... #icu
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis ... rupture, VSD, etc ... inopressors #diagnosis #management ... #comparison #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Algorithm Identify ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Maneuvers - Ice ... Signs of shock or
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... strategy as for septic ... shock (e.g. moderate ... limit them as able ... #CriticalCare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... SEPTIC SHOCK • ... #Shock #Management ... #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... of shock MICRO ... will also get an EKG ... diagnosis #workup #criticalcare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
changes (especially QT ... incongruous with clinical ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare