22 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... toxins, spinal/neurogenic ... Wet OBSTRUCTIVE 2% ... Classification #diagnosis ... #differential #criticalcare
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... renal mechanism 2) ... insipidus (central or nephrogenic ... #Differential #Diagnosis ... Algorithm #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... , Anaphylaxis, Neurogenic ... Pulmonary embolism 2) ... #inopressors #diagnosis ... #management #comparison
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... water unavailable 2) ... Diabetes Insipidus: neurogenic ... #Treatment #management ... #nephrology #sodium
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Epinephrine - Neurogenic ... #Diagnosis #Management ... #Summary #criticalcare
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) ... Sodium loss from ... Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tissue perfusion 2. ... to infection • Neurogenic ... due to loss of Sodium ... Classification #types #diagnosis ... #management #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
• beta 1 and 2, ... • beta 1 and 2 ... Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... tone): • Sepsis. neurogenic ... #table #comparison ... #criticalcare