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differential management algorithm treatment clinical classification comparison echocardiogram endocarditis foamed syncope cardiomyopathy clinica dissection emergency evaluation heartfailure icu infectiousdiseases inotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... • Ruptured aortic ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Decompensated CHF ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #table #comparison ... #criticalcare
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Abrupt onset and severe ... disease • Cardiac ... deficit • Shock ... #Dissection #diagnosis
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Blood draw • Severe ... Mechanical • Aortic ... Classification #Table ... #Causes
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... : EKG ($), ECHO ... Stress #Testing #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
the determined cause ... #treatment #table ... #heartfailure #chf ... #criticalcare # ... icu #clinical #pharmacology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... Persistent bacteremia/fevers ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... Obtain EKG if: ... one post op Cardiology ... Severe Aortic stenosis ... stratification #diagnosis
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