17 results
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... requirements 1. ... Hypovolemic Shock ... Cardiogenic Shock ... #Shock #Pathophysiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
STEMI NSTEMI: 1. ... Unstable/cardiogenic ... shock 2. ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Drugs 1) Determine ... and etiology of shock ... Neurogenic • Cardiogenic ... management #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Dehydration Shock ... Treatment Goals: 1)
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... myxedema, beriberi CARDIOGENIC ... infarction, following cardiac ... pneumothorax, cardiac ... warm #wet #dry #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... dilated IVC - Cardiac ... resuscitation • Cardiogenic ... Cardiac surgery?
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Manage acute cardiac ... Manage chronic cardiac ... - Acute HF, Cardiogenic ... shock, Arrythmias
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... shock. ... myxedema, beriberi CARDIOGENIC ... infarction, following cardiac ... pneumothorax, cardiac
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
SVR Hypovolemic shock ... ↓ ↓ ↑ ↑ ↑ Cardiogenic ... shock1 ↑ ... shock ↓ ↓ ↓ ... ↓ ↑ ↓ ↓ ↓ Cardiac
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... Perforation) Pathophysiology ... Epidemiology: • #1 ... can be community-acquired ... 10 mg/kg IV x 1