51 results
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
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Shock can be broken ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... , HOCM, etc ... Vasopressors #Inotropes #management ... summary #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 ... #NormalValues #Differential ... #Table #Chambers
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - EKG ... function tests if shock ... HeartFailure #Cardiology #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... 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 ... Blood Pressure, Pulmonary ... Dobutamine 2-20 mcg ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Dehydration Shock ... #Differential # ... algorithm #treatment #management