13 results
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
#Inotropes #management ... #criticalcare #summary ... #comparison #table ... #pharmacology # ... indications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... is not desired (e.g ... Cardiac ischemia #Vasopressors ... Inotropes #comparison #table ... #pharmacology #
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... hasankazmi01 #Vasopressors ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Inotropes - Pharmacology ... Summary Vasopressors ... first agent in shock ... #Summary #management ... #medications
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... #Properties #Table ... #Pharmacology # ... Effect #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Neurogenic >> Vasopressors
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... • Begin vasopressor ... #Shock #Management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... failure, esp in work-up ... /management of shock ... note, discharge summary ... will also get an EKG
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... hypoxemia/Sepsis etc ... administration, vasopressors ... output - Acute pulmonary ... - HIV/HAART medications
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... reabsorption) Workup ... heparinized tube) • ECG ... Elimination (see Table ... concurrent need for vasopressor