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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
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table ... #pharmacology #
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... anion-gap metabolic acidosis ... , Diaphoresis, Pulmonary ... edema, Shock Labs
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... hypoxemia/Sepsis etc ... laboratory or diagnostic ... output - Acute pulmonary ... #Differential #Diagnosis
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Resistance, Main Uses ... #Pharmacology # ... Effect #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... pressure (PEEP) for pulmonary ... #Shock #Management ... #CriticalCare
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