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management diagnosis anesthesia anesthesiology cardiology checklist intraoperative differential pharmacology treatment shock vasopressors algorithm anaphylaxis bradycardia cardiac cardiomyopathy chf clinical effect
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Receptor, Heart Rate/Inotropy ... Resistance, Main Uses ... Effect #Management #Comparison ... #Inotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... is not desired (e.g ... is not desired (e.g ... #comparison #table ... #pharmacology #criticalcare
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... production to cause ... Bradycardia & hypotension ... and asthma • Inotropes ... arrythmias Diagnostics: EKG
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
values. 3. ... risk factors (eg ... (eg, patientswith ... (eg, presence of ... #Workup #causes
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Management Summary • Hypotension ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Vasopressors, Inotropes ... Management #Summary #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension ... system including valves ... and positioning (e.g ... (eg steroid dependency ... Diagnosis #Management #Workup
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... vasopressor or inotropic ... reverse the insult (eg
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained hypotension ... • If hypotension ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... system including valves ... Consider known drug causes ... (eg. remifentanil ... Diagnosis #Management #Workup
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