13 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... #criticalcare # ... pharmacology #comparison ... #shock #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... #Shock #Algorithm ... #CriticalCare # ... Peds #Pediatrics ... #Sepsis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Pulmonary >> Acute ... Vasopressors, Inotropes ... #Diagnosis #Management ... #Summary #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... vasopressors or inotropes ... #Algorithm #DCSI ... #Initiative #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... anaphylaxis, release syndrome ... Diagnosis #table #comparison ... #criticalcare
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... not ACEIs) +/- inotropes ... • Hepatorenal syndrome ... Medications → Stop meds
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... coronary syndrome ... #differential #algorithm ... #management #cardiology