35 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... output (ie, cardiac ... #Differential #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Cold and Dry) • Pulmonary ... pneumothorax, cardiac ... Types #diagnosis #management ... warm #wet #dry #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Blood Pressure, Pulmonary ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Cardiac surgery? ... #Diagnosis #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... changes (especially QT ... patients (including cardiac ... NPO, or profound shock ... #Hypokalemia #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... as for septic shock ... limit them as able ... #Pancreatitis #Checklist
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology