29 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... desired (e.g., cardiogenic ... with HCM) - Side ... with HCM) - Side ... Vasopressors #Inotropes #comparison
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Extremities - Cardiogenic ... HOCM) - Obstructive ... #Hypotension #Differential
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Endocarditis - Post-MI ... chronic HTN - HOCM ... #Distributive #Cardiogenic ... #Comparison #Table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... Dobutamine - Dobutrex - Cardiogenic ... - Primacor - Cardiogenic ... shock Dr. ... criticalcare #summary #comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... Vasodilation) - Cardiogenic ... DrEricStrong #Shock ... #Differential # ... Symptoms #Findings #Comparison
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... ) Cardiogenic ( ... contractility) - Acute MI ... #Differential #
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... Cold and Dry #Shock ... Classification #diagnosis #differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... diagnosis #management #comparison
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... Elevated troponin • Cardiogenic ... shock, sudden cardiac