31 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... is not desired (e.g ... is not desired (e.g ... comparison #table #pharmacology ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... • Ruptured aortic ... ) Cardiogenic ( ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... High SVR: • Cardiogenic ... Decompensated CHF ... ) UOP > 0.5 cc/kg ... #criticalcare #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... , Severe Valve Disease ... #Types #criticalcare
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in Cardiogenic ... shock, ECG predicted ... from LMCA into aortic ... Patient was in shock ... CathLab #clinical #cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... Arrhythmias / CHB ... Extreme Dehydration, Severe ... vasoactive drug pharmacology ... #inopressors #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Management #Cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... hypersensitivity Cardiogenic ... Mechanical • Aortic ... Medication side effect (e.g ... Medication side effect (e.g
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... 5) Analyze and Reverse ... resuscitation • Cardiogenic ... #Summary #criticalcare