14 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Norepinephrine (NE ... HR is not desired ... be used in all types ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... insufficiency, liver failure ... CHF • Cold and Wet ... Cold and Dry #Shock ... #differential #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... multisystem organ failure ... - Most common type ... CARDIOGENIC (Cold and Wet ... diagnosis #management #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... • Most common type ... vascular → RV failure ... Classification #Types ... #dry #table
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
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Diagnosis Framework Type ... Cardiogenic & Septic Shock ... Systemic liver Failure ... , Renal failure, ... Differential #Diagnosis #criticalcare
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
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
(type-II myocardial ... ischemia) ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #