20 results
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... requirements 1. ... Cardiogenic Shock ... #Shock #Pathophysiology ... #differential #diagnosis
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... Cardiogenic Shock ... : • Cardiogenic ... #Shock #Types #Pathophysiology ... #criticalcare #diagnosis
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Drugs 1) Determine ... Neurogenic • Cardiogenic ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pressure, pallor Cardiogenic ... uw_IMresidency #Shock ... #table #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Treatment Goals: 1) ... #Differential #Diagnosis
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 Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... myxedema, beriberi CARDIOGENIC ... pneumothorax, cardiac ... Classification #Types #diagnosis ... 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) ... resuscitation • Cardiogenic ... Cardiac surgery? ... #Diagnosis #Management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... #Differential #Table