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Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
to diagnosing sepsis ... and septic shock ... medical diagrams, tables ... algorithm #diagnosis #sepsis ... #shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... end-organ damage, multisystem ... ) • Septic → dysregulated ... warm #wet #dry #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(1st line for septic ... shock (mild ↑CO ... (distributive, septic ... Some cases of septic ... Inotropes #comparison #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... #Vasopressors #shock ... management #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... Angiotensin - "Ang II" - Sepsis ... summary #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Vasodilation) - Septic ... a.k.a. neurogenic shock ... DrEricStrong #Shock ... Classification #Table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... shock, cryptic ... shock. ... end-organ damage, multisystem ... ) • Septic → dysregulated
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Distributive shock ... - Septic shock ... Cardiogenic #Comparison #Table
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... then distributive shock ... , i.e. septic shock ... #CriticalCare #Shock ... #Fluids #POCUS
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... Differential #Diagnosis #table