15 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Pancreatitis RV failure ... pneumothorax LV failure ... Cardiogenic #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Severe heart failure ... DrEricStrong #Shock ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... MI, Acute Heart Failure ... #Vasopressors #shock ... management #comparison #table
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - POCUS ... evaluation in shock ... acute circulatory failure ... according to Weil's shock ... FALLS #Protocol #Shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... multisystem organ failure ... decompensated heart failure ... vascular → RV failure ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Intra-cardiac pump failure ... • Severe heart failure ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Monitors, Pads AP Stable ... Signs of shock or ... heart failure
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... ill patient with shock ... / hypoxemia -> focus ... perfusion - shock
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... - Autonomic failure ... Classification #Table
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
congestive heart failure ... congestive heart failure ... congestive heart failure ... • Hypovolemic shock ... #Medications #Table