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management diagnosis cardiology criticalcare differential pharmacology table vasopressors acidosis algorithm antibiotics bradi cardiac chf classification clinical community comparison coverage elevation
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
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... - Indication: Can ... #Vasopressors #Inotropes
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Framework BRADI Mnemonic ... blocking agent • Shock ... Spondylarthropathies Other causes ... differential #diagnosis #causes ... cardiology #BRADI #Mnemonic
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• Everyone who can ... Regadenoson) - ↑ cAMP ... production to cause ... Contraindications: - Bradycardia ... and asthma • Inotropes
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... of Shock HEMORRHAGIC ... SHOCK • Ensure ... vasopressor or inotropic ... • Consider intraaortic
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 ... perfusion - shock ... vasopressors, or inotropes
Antibiotics for severe community-onset pneumonia Atypical coverage always - Usually azithromycin 500 mg daily - Doxycycline
piperacillin-tazobactam Septic Shock ... only in selected cases ... #Community #Acquired ... #Pneumonia #CAP
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
correct profile can ... excess volume can ... essentially Cardiogenic Shock ... patients need inotrope ... the determined cause
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