18 results
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
the 4 types of shock ... #Diagnosis #Management ... #Types #Shock # ... Comparison #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... inopressors #diagnosis #management ... #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Endocarditis - Post-MI ... #Cardiogenic #Comparison
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Thiazide‐like diuretics, MRA ... #Pharmacology #Comparison ... CHF #Cardiology #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... possible w/ early shock ... - MI, arrhythmia ... #Diagnosis #Management
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... #CriticalCare #Management ... #Pharmacology #Comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... Diagnosis #table #comparison
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
#pharmacology #comparison ... #shock #management