20 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... pericardial effusion, cardiac ... Pulmonary embolism ... Signs: Normal cardiac ... #Comparison #criticalcare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors and ... is not desired (e.g ... is not desired (e.g ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Cardiac surgery? ... Management #Summary #criticalcare ... #treatment #workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... #Algorithm #DCSI
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
can be protean and ... essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... guyton #curves #criticalcare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... forward flow. e.g ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... - Observe and ... with caution in pulmonary ... #management #cardiology ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
cardiac function ... with presence of pulmonary ... essentially Cardiogenic Shock ... #differential #algorithm ... heartfailure #chf #criticalcare