22 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... • MAP <65, SBP ... malperfusion • Lactate ... #Classification
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis Classification ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... Short bowel (D-lactate ... Lactic #Acidosis #Classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Framework - MAP ... malperfusion - Lactate ... Treatment Goals: 1) MAP ... > 60-65 2) Lactate
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
Septic Shock • ... o Lactate >2 mmol ... control, DVT/stress ulcer ... #sepsis #sirs #shock ... #lactate #MAP
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... perfusion - shock ... ischemia, surgery may ... #typea #typeb #classification
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
vasopressors to maintain MAP ... = 65 mm Hg and lactate ... resistant Hypotension (MAP ... > 65 + Lactate ... Vasopressors to maintain MAP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SBP drop >40, MAP ... possible w/ early shock ... ) • Elevated lactate ... • Obstructive Shock
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis - Classification ... hypoperfusion, Shock ... Fructose, Isoniazid, Lactate-based ... Lactic #Acidosis #Classification ... #TypeA #TypeB #lactate
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Acidosis with Anion Gap ... those, check osm gap ... paraldehyde L - Lactate ... hypoxia (e.g. shock ... that results in lactate
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Troponin, Lactate ... function tests if shock ... — Optimize the MAP ... Checklist #CHF #Shock