14 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... • Severe bum Cardiogenic ... : • Sepsis • ... #Algorithm #shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... Low JVP • Sepsis ... Extremities - Cardiogenic ... Sounds • Pulmonary ... #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Distributive: Sepsis ... High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... hypertension Rx ... 20 mg q6hr) - Hypotension ... (no B-lines on ultrasound ... #CHF #Shock #Cardiogenic
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis ... Neurogenic • Cardiogenic ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION ... ShockHypotension ... visualization with use of ultrasound ... #Shock #Algorithm ... DCSI #Initiative #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Summary • Hypotension ... Setup - Ultrasound ... - Septic ... #Diagnosis #Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... myxedema, beriberi CARDIOGENIC ... hypertension • ... Classification #types #diagnosis ... #management #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... myxedema, beriberi CARDIOGENIC ... hypertension ... Classification #Types #diagnosis ... #management #cold
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... 4 categories: cardiogenic ... Cardiac Tamponade, Pulmonary ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential