41 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... - Indication: Can
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Diagnosis Framework ... BRADI Mnemonic ... blocking agent • Shock ... #causes #cardiology ... #BRADI #Mnemonic
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Bradyarrhythmias • Sinus bradycardia ... Medication side effect (e.g ... Medication side effect (e.g
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... lower AV cells can ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... line in septic shock ... /cGMP • Causes
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Syndrome B - Bradycardia ... blockade S - Shock ... Hyperkalemia Typical ECG ... saline) • If on a Ca2 ... BRASH #Syndrome #diagnosis
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
and Differential Diagnosis ... - Congenital (e.g ... ., HHT), Acquired ... (e.g., iHD) Cirrhosis ... #cardiology #causes
MAGIC DR – a handy mnemonic used to remember the potential causes of a cerebral ring
MAGIC DR – a handy mnemonic ... the potential causes ... Demyelinating disease (eg ... Radiation necrosis #Diagnosis ... #Radiology #Mnemonic