4 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... Neurogenic • Cardiogenic ... Arrhythmias / CHB • Hypovolemic ... #Vasoactive #Drugs ... diagnosis #management #comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... MAP = CO x SVR Hypovolemic ... pressure, pallor Cardiogenic ... adrenal crisis, drugs ... Diagnosis #table #comparison
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
patient causing hypovolemia ... is essentially Cardiogenic ... Shock. ... treatment #table #foamed ... #heartfailure #
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
ICU, Formulas & Drugs ... 02 PVR SVR Hypovolemic ... shock ↓ ↓ ↓ ... ↓ ↓ ↑ ↑ ↑ Cardiogenic ... shock ↓ 1 ↑