22 results
Comparison - Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Catatonia

- BWH Medicine Chiefs @BrighamChiefs

#Serotonin #Syndrome #Neuroleptic
Comparison - Serotonin ... Malignant Syndrome ... Catatonia #NMS #SS #comparison ... #diagnosis #management ... #treatment #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... rupture, VSD, etc ... #inopressors #diagnosis ... #management #comparison ... #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Abdominal compartment syndrome ... Treatment Goals ... #criticalcare # ... #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... anaphylaxis, release syndrome ... #table #comparison ... #criticalcare
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... blockade S - Shock ... Hyperkalemia Typical ECG ... • Aggressive treatment ... #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... abdominal compartment syndrome ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
TNF-a1pha, IL-6, etc ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... #Hyperthermia #comparison ... #diagnosis #management