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diagnosis management cardiology differential treatment workup algorithm checklist comparison pharmacology anesthesia anesthesiology foamed inotropes intraoperative vasopressors acidosis amyloid amyloidosis anaphylaxis
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... Book of Critical ... Vasopressors #Properties #Table
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... #CriticalCare
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... patients (including cardiac ... NPO, or profound shock
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... of lactate as a clinical ... perfusion - Cardiac ... failure - Low cardiac
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
with previously stable ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... as patient is stable ... an appropriate critical
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... the determined cause ... cardiology #treatment #table ... heartfailure #chf #criticalcare
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