9 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Survey 4) Workup ... pericarditis, Pericardial Tamponade ... Pulmonary >> Acute PE ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... Ameliorate increased work ... oxygenation; remove work ... #CriticalCare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Pneumothorax, Alveolar Hemorrhage ... edema), Lung Exam, POCUS ... PPI Oxygen Therapy ... Management #treatment #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Intravascular volume): • Hemorrhage ... tension PTX, cardiac tamponade ... , Vascular → PE, ... table #comparison #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
PRE-SHOCK - Compensated ... diminished tissue perfusion ... pneumothorax, cardiac tamponade ... Cold and Dry): • Hemorrhagic ... diagnosis #management #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), RV Failure (PE ... Pneumothorax, Cardiac Tamponade ... Obstruction (HOCM, critical ... • HYPOVOLEMIC: Hemorrhage ... guyton #curves #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... O2 delivery • Hemorrhagic ... O2 delivery • PE ... , Tension ptx, Tamponade ... management #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... O2 delivery • Hemorrhagic ... O2 delivery • PE ... , Tension ptx, Tamponade ... management #Overview #criticalcare
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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
↑ Cardiogenic shock ... 1 ↑ Septic shock ... ↓ ↓ Cardiac Tamponade ... Arterial Pressure PP ... DP-PCWP Coronary Perfusion