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DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... ) Cardiogenic Shock ... vasopressors or inotropes ... #Algorithm #DCSI
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... inhibitor • Inotropy ... pharmacology #comparison #shock
Vasopressors - Charted by Vasoconstriction, Vasodilation, and Inotropy - Dobutamine - Milrinone - Vasopressin -
Vasodilation, and Inotropy ... #Vasodilation #Inotropy ... Pharmacology #Visual #Inotropes
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
ICU • Consider inotropic ... Intubate • Consider inotropic ... CPR • Max 3 shocks ... management #treatment #algorithm
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... line in septic shock ... Increases BP, SVR, not inotropic ... #Vasopressors #Inotropes
Inotropic agents in current use for the treatment of heart failure #heartfailure #cardiology #ionotropes #epinephrine #norepinephrine #dopamine #dobutamine
Inotropic agents ... #cardiology #ionotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... #Vasopressors #Inotropes
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... in refractory shock ... in setting of shock ... #Vasopressors #Inotropes
Inotropic agents in current use for the treatment of heart failure #heartfailure #cardiology #ionotropes #epinephrine #norepinephrine #dopamine #dobutamine
Inotropic agents ... #cardiology #ionotropes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... #differential #algorithm
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