31 results
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... death -> end-organ dysfunction ... Classification #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... death -> end-organ dysfunction ... Classification #diagnosis #management ... #differential #causes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... (arrhythmia in setting ... of shock, HOCM, ... Vasopressors #Inotropes #management ... summary #comparison #table
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• 49 million cases ... COMMON CAUSES + ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... #Diagnosis #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... END-ORGAN DYSFUNCTION ... Types #diagnosis #management ... warm #wet #dry #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... with valvular dysfunction ... or LV dysfunction ... surgery Stress Testing ... medical and surgical management
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... Cardiac #Stress #Testing ... #cardiology #management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
64%) • Renal dysfunction ... (16%) • Shock ... Treat primary cause ... Coagulation #diagnosis #causes ... #treatment #management
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
renal tubular dysfunction ... Familial renal Mg wasting ... Low #Magnesium #Table ... Classification #Causes
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Diagnosis and Management ... Life-threatening organ dysfunction ... caused by a dysregulated ... infection SEPTIC SHOCK ... Patients w/ septic shock