15 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... , HOCM, etc ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... #Pharmacology # ... Effect #Management ... #Comparison #Inotropes
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... and Management ... Differential Diagnosis ... • Vasculitis (e.g ... #pulmonary #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Establish IV/IO Access ... Tamponade - Pulmonary ... #Diagnosis #Management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... #NormalValues #Differential ... #Table #Chambers
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high ... Pulse deficit/differential ... deficit • Shock ... Aortic #Dissection #diagnosis ... #management #vascular
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... Diagnosis The ... hypoxemia/Sepsis etc ... assessment - assess ... output - Acute pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... Delivery • Stable ... Cardiomyopathy #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Diagnosis: • Rheumatic ... ↑ ESR, CRP • EKG ... #management #cardiology