17 results
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 ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... Management #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #CriticalCare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... /kg/min - Milrinone ... Vasopressors #Properties #Table ... #Pharmacology #
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table ... #Causes
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
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... a fixed ratio, e.g ... Use hemodynamic stability ... #Hemorrhagic #Shock ... Management #Summary #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g ... Diagnosis #Management #CriticalCare
Balloting the ETT cuff refers to exerting gentle bouncing pressure over the suprasternal notch while palpating
tube position (e.g ... Unfortunately, inability ... Thus, in some cases ... (e.g. morbid obesity ... #Management #CriticalCare