15 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
for septic shock ... ), Cardiogenic shock ... Some cases of septic ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Classification DISTRIBUTIVE ... 66% • Sepsis/ ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... #differential #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
/ Low SVR: • Distributive ... : Sepsis, Anaphylaxis ... High SVR: • Cardiogenic ... Decompensated CHF ... #algorithm #treatment
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Lactate > 1.5 Distributive ... / Low SVR • Sepsis ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Intractable vomiting Distributive ... Vasodilation) - Septic ... ) Cardiogenic ( ... Classification #Table ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Angiotensin - "Ang II" - Sepsis ... /distributive (refractory ... - Primacor - Cardiogenic ... Inotropes #management #criticalcare ... summary #comparison #table
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
obstructive, then cardiogenic ... hypovolemic then distributive ... shock, i.e. septic ... FALLS #protocol #algorithm ... #Pulmonology #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive ... : Sepsis, Anaphylaxis ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... management #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
pressure, pallor Cardiogenic ... based on cause Distributive ... Vascular tone): • Sepsis ... Differential #Diagnosis #table ... #comparison #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... /flank edema) Distributive ... wound. drains) Cardiogenic ... #criticalcare #