15 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... , Signs and Symptoms ... by Classification ... #Table #CriticalCare ... #Findings #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... vasoactive drug pharmacology ... Norepinephrine, Epinephrine ... Vasoactive #Drugs #pharmacology ... diagnosis #management #comparison
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... CARDIOGENIC 16% • MI ... Cold and Dry #Shock ... #differential #criticalcare
Croup Management - Epinephrine Dosing
Use steroids appropriately, as needed
In older children with mild symptoms, may consider
Croup Management - Epinephrine ... children with mild symptoms ... MDI (CPS Guideline ... MDI (Sick Kids) ... #dosing #pharmacology
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Increase SVR Epinephrine ... Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... vasoconstriction Epinephrine ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... • Epinephrine ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... shock - Vomiting ... Endocarditis - Post-MI ... #Classification ... #Cardiogenic #Comparison
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
type-I vs. type-II MI ... of subcutaneous epinephrine ... probably a type-2 MI ... If the same symptoms ... probably a type-1 MI