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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 and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... #Vasopressors #Inotropes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... the determined cause ... #differential #algorithm
Shock - Pathophysiology Inadequate tissue perfusion to meet O2, nutrient requirements 1. Distributive Shock 2. Hypovolemic Shock 3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... differential #diagnosis #algorithm ... #causes
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
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... - Distributive Shock ... Differential #Diagnosis #Algorithm ... #causes
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Causes, classification ... compensatory responses to shock ... Shock can be caused ... The cause of shock ... #Differential #Causes
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
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis Algorithm ... • Neurogenic shock ... Differential #Diagnosis #Algorithm ... #shock #causes
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