19 results
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... ), Symptomatic bradycardia ... - Symptomatic bradycardia ... summary #comparison #table ... #pharmacology #indications
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Bradycardia - Note ... #bradycardia #Causes ... #differential # ... infectiousdiseases #table
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Heart block Medications ... #differential #
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... pancreatitis • Medication ... #Hypotension #Differential
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... depletion - Medication ... #Syncope #Differential ... Classification #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Resistance Bradycardia ... output): • Sinus bradycardia ... depletion • Pulmonary ... stenosis • Meds: negative
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Classification #Differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... : Rate/Rhythm (bradycardia ... Cardiac Tamponade, Pulmonary ... thyrotoxicosis), Medications ... #diagnosis #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Dehydration Shock ... #Differential #