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Important Blood Pressure Targets in the ED Subarachnoid Hemorrhage: SBP < 140 -
Hemorrhage: SBP ... < 185, DBP < 110 ... < 180, DBP < 105 ... : ↓BP by 15% over ... (SBP>70-90, MAP
Blood pressure management in acute ischemic stroke - Timeline Candidate for tPA: - Goal SBP <185 AND
for tPA: - Goal SBP ... <185 AND DBP <110 ... Hypertension: Goal SBP ... <220 AND DBP <120
Hypertensive Disorders of Pregnancy Chronic Hypertension: • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg •
Guidelines as SBP ... ≥130 or DBP ≥ 90 ... ≥ 140 or DBP ≥ ... ≥ 140 or DBP ≥ ... ≥ 160 or DBP ≥
Blood Pressure Targets in Hypertensive Crisis Timeline: 1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg 2-6
25%, Maintain DBP ... Titrate To Goal SBP ... 160 mmHg & DBP ... hours: Maintain SBP ... <160 mmHg & DBP
Vasopressors and Inotropes - Comparison Table Activity: Alpha-1, Beta-1, Dopamine, SVR, HR, CO, BP Phenylephrine Vasopressin Norepinephrine Epinephrine Dopamine Dobutamine Isoproterenol Milrinone - Dr. Eric Strong
, SVR, HR, CO, BP ... #pharmacology #criticalcare
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
SHOCK • MAP <65, SBP ... <90, drop in SBP ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP <90, drop in ... SBP > 40 - End-organ ... Differential #Diagnosis #criticalcare
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
• Bleed (GIB, RP ... #differential #criticalcare
Mean Arterial Pressure (MAP) Average arterial pressure throughout one cardiac cycle, systole, and diastole. Surrogate indicator of
) = DBP ... + 1/3(SBP – DBP ... ) or MAP = DBP ... + 2 (DBP) = 82 ... – DBP) + DBP =
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
• Hypotension: SBP ... <90, SBP drop >40 ... Mental Status (SBP ... Management #Summary #criticalcare
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