16 results
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... , HOCM, etc ... #management #criticalcare ... #summary #comparison ... #table #pharmacology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
- Pharmacology Summary ... first agent in shock ... line in septic shock ... #Pharmacology #Summary ... #management #medications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... is not desired (e.g ... #Vasopressors #Inotropes ... #comparison #table ... #pharmacology #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... telemetry, 12-Lead EKG ... Vasopressors, Inotropes ... #Summary #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... vasopressors or inotropes ... #Algorithm #DCSI ... #Initiative #Management
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... vasopressor or inotropic ... #Shock #Management ... #CriticalCare
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... a fixed ratio, e.g ... #Hemorrhagic #Shock ... #Management #Summary ... #CriticalCare #
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... as for septic shock ... limit them as able ... #CriticalCare
Checklist Approach to Hypokalemia

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