31 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI ... , CHF • Cold and ... Classification #diagnosis #differential ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Decompensated CHF ... Classification #Differential ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... #Differential # ... Classification #Table #CriticalCare
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Thiazide‐like diuretics, MRA ... Loop #Thiazide #CHF ... #Cardiology #Management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... Arrhythmias / CHB ... inopressors #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
ARB, ARNI • MRA ... Heart #Failure #CHF ... HFrEF #Guideline #management ... #GDMT #cardiology
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Beta-Blocker → MRA ... Inhibitor → ARNI →MRA ... Heart #Failure #CHF ... HFrEF #Guideline #management ... #GDMT #cardiology