10 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... inopressors #diagnosis #management ... #comparison #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... Resistance, Main Uses ... #Pharmacology # ... Effect #Management ... #Comparison #Inotropes
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... hypoxemia/Sepsis etc ... output - Acute pulmonary ... Acidosis #Elevation #Differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess Differential ... • Vasculitis (e.g ... Lung #Abscess #pulmonary ... #differential # ... causes #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... Delivery • Stable
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... the determined cause ... #diagnosis #differential ... #algorithm #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Kidney stones caused ... • Hypovolemic shock ... #Medications #Table
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
⚠️ Cardiogenic shock ... , selenium) Differential ... dysfunction • Pulmonary ... Rule out other causes ... recognition and management