1468 results
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
- Usually a MAP ... occur at lower MAPs ... - Pulmonary edema
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Framework - MAP ... • Obstructive: Pulmonary ... Treatment Goals: 1) MAP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Catheterization - Pulmonary ... and Calculations PULMONARY ... and Diastolic Pulmonary ... RESISTANCE = [(MAP ... OUTPUT (CPO) = (MAP
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Diagnosis SHOCK • MAP ... , CVP > 12 • Pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
in cardiogenic pulmonary ... ventricular failure or pulmonary ... — Optimize the MAP ... hypoperfusion, no pulmonary ... significant systemic/pulmonary
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
pressures (RA, RV) ● Pulmonary ... pressure (PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... index (LVSWI = [MAP
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
→ ↓ → →↑ Pulmonary ... Volume PRESSURES MAP ... dyn*s/cm5*m2 ((MAP-CVP ... 4.2 kg*m/m2 CI*MAP ... 62 g*m/m2 SI*MAP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
SBP drop >40, MAP ... Tamponade - Pulmonary
Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern
XRay Nodule / Mass ... Diagnosis #Radiology #Pulmonary ... #CXR #Nodule #Mass
Posterior Mediastinal Mass - Differential Diagnosis
 • Neurofibroma
 • Neurosarcoma
 • Neuroblastoma
 • Ganglioneuroma
 • Meningocele
Posterior Mediastinal Mass ... #Mediastinal #Mass ... Differential #Diagnosis #pulmonary