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diagnosis management anesthesiology checklist criticalcare differential intraoperative workup inotropes pharmacology acidosis anaphylaxis classification effect elevation fluid hyperkalemia hypotension k lactate
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 ... #Properties #Table ... Effect #Management #Comparison
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... Consider giving vasopressor ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... Bradyarrhythmias, Some cases ... ischemia #Vasopressors ... #Inotropes #comparison ... #table #pharmacology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
initial fluid challenge ... likely underlying cause ... Consider monitoring cardiac ... aid fluid and vasopressor ... cultures if possible (eg
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... give alternate vasopressor ... (e.g. metaraminol ... as patient is stable ... Anesthesiology #Anesthesia
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
dehydration due to renal ... Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
shorter duration pf vasopressors ... lower risk of renal ... PPV, absolute values ... output causes increases ... #criticalcare #comparison
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
to bolus these values ... administration, vasopressors ... perfusion - Cardiac ... failure - Low cardiac ... deficiency - Renal
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac ... concurrent need for vasopressor
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