11 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... thematttsai #Pressors ... #Inotropes #criticalcare ... #pharmacology # ... comparison #shock
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... my approach to pressors ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... of as the first pressor ... #Vasopressors #Inotropes ... #management #criticalcare ... comparison #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... #Vasopressors #Inotropes ... comparison #table #pharmacology ... #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
fractures, direct pressure ... end-expiratory pressure ... vasopressor or inotropic ... • Consider intraaortic ... #CriticalCare
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increasing diastolic pressure ... Triggers (EKG, Pressure ... nickmmark #IABP #IntraAortic ... diagnosis #management #cardiology ... #criticalcare
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
of Cardiogenic Shock ... intervention (inotrope ... , pressor or TCS ... #Cardiogenic #Shock ... ABCDEs #diagnosis #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... vasopressors or inotropes ... systolic blood pressure ... Initiative #Management #Cardiology
Push Dose Pressors - Mixing Instructions.

EPINEPHRINE
Has alpha and beta 1/2 effects so it is an inopressor
Do
Push Dose Pressors ... so no intrinsic inotropy ... 50-200 mcg) #Pharmacology ... #CriticalCare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... algorithm #management #cardiology ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology