327 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... malperfusion - Lactate ... Dehydration Shock ... MAP > 60-65 2) Lactate ... Sophia_Hayes_MD #Shock
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... Short bowel (D-lactate
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... ill patient with shock ... perfusion - shock ... Cardiac arrest - Shock
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... malperfusion • Lactate ... Sophia_Hayes_MD #Shock
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... with negative lactate ... requires separate D-lactate ... sugars into D-Lactate ... #criticalcare #lactate
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... ) • Elevated lactate ... • Obstructive Shock ... • Hypovolemic Shock
Lactic acid was first found & described in sour milk by Karl Wilhelm Scheele in 1780.
equilibrium with lactate ... ratio of about 25 lactate ... Thus, lactate is ... #Lacticacid, #Lactate ... , #Shock,
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
paraldehyde L - Lactate ... hypoxia (e.g. shock ... that results in lactate
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
Septic Shock • ... o Lactate >2 mmol ... #sepsis #sirs #shock ... #lactate #MAP
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
hypoperfusion, Shock ... Fructose, Isoniazid, Lactate-based ... #TypeA #TypeB #lactate