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diagnosis algorithm treatment pharmacology cardiology criticalcare gastroenterology checklist peds table differential clinical medications pediatrics pulmonary syndrome covid19 primarycare comparison guidelines
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy > Increase SVR ... comparison #shock #management
Tetralogy of Fallot - Hypoxic Spell Management 1. Oxygenation 2. Increase SVR 3. Abolish Hyperpnea 4. Correct Acidosis - Dr. Rasha
Hypoxic Spell Management ... Increase SVR 3. ... Hypoxic #Spell #Management
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR ... Increases BP, SVR ... Increases HR, SVR ... Increases BP, SVR ... Pharmacology #Summary #management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Low CO / High SVR ... algorithm #treatment #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock - Decreased SVR ... Classification #diagnosis #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock - Decreased SVR ... Classification #diagnosis #management
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... Lead aVR can provide ... Differentiating VT from SVT ... EKG #ECG #Lead #AVR
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
1500 d/s/cm5) (SVR ... -120 d/s/cm5) (PVR ... ml/beats/m2) (SVI ... [MAP – PCWP] x SVI ... mean PAp – CVP] x SVI
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Low CO / High SVR
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR
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