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Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors Demystified ... Shock comes ... flavors and so do vasopressors ... #Basics #CriticalCare ... #Management #Pharmacology
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Non-Response to Vasopressors ... reaching for a vasopressor ... - 2nd cause shock ... #Diagnosis #Nonresponse ... #Differential #
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... @EmmGeezee #Vasopressors ... #Inotropes #management ... #criticalcare # ... comparison #table #pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... : Distributive shock ... Cardiac ischemia #Vasopressors ... comparison #table #pharmacology ... #criticalcare
Differential Diagnosis for Shock #Diagnosis #CriticalCare #Shock #Differential #Algorithm #Cardiogenic #Distributive #Hypovolemic #Ddxof
Differential Diagnosis ... for Shock #Diagnosis ... #CriticalCare # ... Shock #Differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
vasoactive drug pharmacology ... hasankazmi01 #Vasopressors ... #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Inotropes - Pharmacology ... first agent in shock ... line in septic shock ... #Inotropes #Pharmacology ... #Summary #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Neurogenic >> Vasopressors ... #Diagnosis #Management ... #Summary #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... infection SEPTIC SHOCK ... Patients w/ septic shock ... Sepsis #Criteria #Diagnosis ... #SIRS #criticalcare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare