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differential shock management causes types overview algorithm cardiology chf clinical comparison dry foamed heartfailure heatstroke hyponatremia icu illness pharmacology stroke
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and Classification ... toxins, spinal/neurogenic ... • Warm and Dry ... #diagnosis #differential ... #criticalcare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
- Differential Diagnosis ... by Classification ... trauma (a.k.a. neurogenic ... MI - Severe heart ... #Table #CriticalCare
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infection • Neurogenic ... decompensated heart ... due to loss of sodium ... #Types #diagnosis ... #table
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
DISTRIBUTIVE (Warm ... to infection • Neurogenic ... decompensated heart ... due to loss of Sodium ... #types #diagnosis
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Diagnosis by Mechanism ... depletion - Heart ... e.g. pneumonia, COPD ... #Table #Causes ... #Sodium
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
failure): • Severe heart ... tone): • Sepsis. neurogenic ... • Exam: ↓ JVP, warm ... #table #comparison ... #criticalcare
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Diagnosis Framework ... Dehydration - Loss of sodium ... conditions - Neurogenic ... illness → Hypernatremia ... Syncope • Signs/Symptoms
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
kg/hr) • Ext: warm ... vs. cold (feel ... liver failure, neurogenic ... delivery • MI, Heart ... #diagnosis #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
kg/hr) • Ext: warm ... vs. cold (feel ... liver failure, neurogenic ... delivery • MI, Heart ... #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... non-congested profile (“Cold ... and congested (“Cold ... cardiology #treatment #table ... heartfailure #chf #criticalcare
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