21 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis, Anaphylaxis ... rupture, VSD, etc ... #inopressors #diagnosis ... #management #comparison ... #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vasopressors #Properties #Table ... #Pharmacology # ... Effect #Management ... #Comparison #Inotropes
PDE5 inhibitors are usually the drugs of first choice for erectile dysfunction.

PDE5 inhibitors enhance an erection that is
with caution - e.g ... #pharmacology #comparison ... #medications #dosing ... #drugs #table #
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
prior resistance. e.g ... ESBL, KPC, VRE. etc ... ampicillin #management ... #antibiogram #pharmacology ... #table #sensitivities
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
- ACLS (1st), Anaphylaxis ... of shock, HOCM, etc ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... Endocrine cause (eg ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... known drug causes (eg ... remifentanil, digoxin etc ... #Checklist #Diagnosis ... #Management #Workup