13 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... shock #Checklist ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... summary #comparison #table ... #pharmacology #
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in Cardiogenic ... shock, ECG predicted ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Internet Book of Critical ... #Pharmacology # ... Effect #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... - Acute HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management ... #cardiology #summary
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary ... #Shock #Management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... changes (especially QT ... incongruous with clinical ... NPO, or profound shock ... #Hypokalemia #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Shock. ... #table #foamed ... #pharmacology