10 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... #pharmacology #comparison ... #shock #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... vasopressors or inotropes ... #Algorithm #DCSI ... #Initiative #Management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... #CriticalCare #Management ... #Pharmacology #Comparison ... #Inotropes
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... • Initiate judicious ... vasopressor or inotropic ... • Consider intraaortic ... #Shock #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Rx 4 — Consider inotrope ... considered a weak inotropic ... blockers) - Initiation ... HeartFailure #Cardiology #Management
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
removed in septic shock ... follow up cultures required ... 72 hours after initiating ... Bacteremia #Treatment #Management
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
PRINCIPLES OF MANAGEMENT ... hemostasis is acquired ... blockade -> Do not initiate ... Variceal Bleed Management ... #algorithm #VARICEALB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... #differential #algorithm ... #management #cardiology
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
ICU • Consider inotropic ... Intubate • Consider inotropic ... CPR • Max 3 shocks ... Hypothermia #Protocol #management ... #treatment #algorithm