11 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE ... HR is not desired ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Neosynephrine - "Neo ... . so generally not ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
Consider HFNC Not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... heart failure ... tachycardia #Management #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the disease and not ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... • Typically set ... #criticalcare # ... hypoxia #failure ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart Failure ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... cannot, coronary ischemia ... #diagnosis #algorithm ... management #clinical #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... cannot, coronary ischemia ... clinica l#foamed #algorithm ... #criticalcare