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DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... vasopressors or inotropes ... Cardiogenic #Shock #Algorithm
Vasopressors - Charted by Vasoconstriction, Vasodilation, and Inotropy - Dobutamine - Milrinone - Vasopressin -
Vasodilation, and Inotropy ... #Vasodilation #Inotropy ... Pharmacology #Visual #Inotropes
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... beta 1 and 2 • Inotropy ... inhibitor • Inotropy
Adult Post–Cardiac Arrest Care Algorithm - AHA2020 Initial Stabilization Phase - Resuscitation is ongoing during the post-ROSC
Post–Cardiac Arrest Care Algorithm ... vasopressor or inotrope ... ROSC #PostArrest #algorithm
Clinician's Pocket Guide to Vasopressors - Receptor Profiles and Hemodynamic Parameters • Systemic Vascular Resistance -
Circulatory pressure • Inotropy ... table #receptors #inotropes
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Receptor, Heart Rate/Inotropy ... Management #Comparison #Inotropes
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Vasopressors and Inotropes ... Increases BP, SVR, not inotropic ... vasoconstriction, SVR Inotropes ... #Vasopressors #Inotropes
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
ICU • Consider inotropic ... Intubate • Consider inotropic ... management #treatment #algorithm
Calcium Channel Blockers - Dihydropyridines vs Non-Dihydropyridines Dihydropyridines (amlodipine, felodipine, nifedipine, nicardipine) • SVR: Decrease • Inotropy:
SVR: Decrease • Inotropy ... SVR: Decrease • Inotropy
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
patients need inotrope ... #differential #algorithm
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