13 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
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... Norepinephrine (NE) - Indication ... Vasopressin - Indication ... #Vasopressors #Inotropes ... #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison ... #pharmacology #indications
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... line in septic shock ... Pharmacology #Summary #management ... #medications
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
of Factor IX Acquired ... malnutrition, Antibiotics ... Anticoagulant Medications ... Acute DIC - Septic shock ... Summary #table #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
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Nosocomial or hospital acquired ... Recent exposure to antibiotics ... Presentation in septic shock ... SBP: Medical Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... vasopressor or inotropic ... • Consider intraaortic ... #Shock #Management
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
Antibiotics for ... piperacillin-tazobactam Septic Shock ... Broad-spectrum antibiotics ... #Community #Acquired ... #Coverage #Management
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Injury (AKI) - Management ... not ACEIs) +/- inotropes ... Foley • UTI → Antibiotics ... Foley catheter • Medications ... Injury #treatment #management