21 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table #CriticalCare ... Symptoms #Findings #Comparison
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte
 - Causes hyperkalemia?
 - Safe to
Causes lactic acidosis ... with a metabolic acidosis ... removed- trials were negative ... #Crystalloids #pharmacology ... #indications #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Treatment Goals ... #Differential # ... Diagnosis #criticalcare ... #algorithm #treatment
Running out of Analgesia and Sedation Medications due to #COVID19?  Anand Swaminathan, MD has put
management #covid19 #treatment ... #sarscov2 #criticalcare ... medications #sedation #sedative ... #analgesia #pharmacology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... with negative lactate ... #Differential # ... Diagnosis #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
hypotension is treatment ... non-responders: - acidosis ... - 2nd cause shock ... #Vasopressors #Differential