9 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... CO / High SVR, JVP ... CO / High SVR, JVP ... CO / High SVR, JVP ... Classification #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↓ JVP
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Comparison Table JVP ... , IVC on Ultrasound ... LV Function on Ultrasound ... EricsMedicalLectures/ #Shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Low JVP ... - Cardiogenic Shock ... #Hypotension #Differential
Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.
Jugular Venous Pressure ... Block #Jugular #Venous ... Waveform #Patterns #JVP ... Cardiology #diagnosis #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Setup - Ultrasound ... • Obstructive Shock ... crackles, elevated JVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular Venous ... Pressure Waveforms - Differential ... Jugular #Waveforms #JVP ... #Differential #
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
Condition SAP CVP ... SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... Minute Ventilation VD
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... importantly, bedside ultrasound ... essentially Cardiogenic Shock ... #diagnosis #differential