50 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... Diagnostic Studies • POCUS ... #Cardiogenic #Shock
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Fibrillation AV nodal dysfunction ... , Sinus nodal dysfunction ... Tamponade, pulmonary ... #Cardiogenic #Shock
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tissue perfusion 2. ... END-ORGAN DYSFUNCTION ... Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tissue perfusion 2. ... END-ORGAN DYSFUNCTION ... Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
and lactate > 2 ... conference SEPSIS-3 (2 ... 65 + Lactate => 2 ... /hypofunction. ... lactate (repeat if > 2
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... Cardiac View 2. ... Pulmonary View ... Pulmonary View
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... with cardiogenic shock ... 0.63 predicted RV dysfunction ... or hypovolemic shock
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... hypertension Rx 2 ... severe or w/ organ dysfunction ... Checklist #CHF #Shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... #Vasopressors #shock
Systemic Inflammatory Response Syndrome (SIRS) Criteria - Definitions of Sepsis, Severe Sepsis and Septic Shock

Systemic Inflammatory
Sepsis and Septic Shock ... Heart rate > 90 2 ... drop > 40 (Organ dysfunction ... hypoperfusion) Septic Shock