36 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... #pharmacology #comparison ... #shock #management
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... Pulmonary View ... Pulmonary View ... Pregnancy and DVT
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO x SVR ... findings based on cause ... uw_IMresidency #Shock ... Diagnosis #table #comparison
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High CO / Low SVR ... Low CO / High SVR ... • Obstructive: Pulmonary ... algorithm #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Prepare • Full Set ... Tamponade - Pulmonary ... #Diagnosis #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
rapidly fatal • Causes ... Identify underlying cause ... Cooling blankets can cause ... #Hyperthermia #comparison ... #diagnosis #management