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Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
to diagnosing sepsis ... and septic shock ... medical diagrams, tables ... #algorithm #diagnosis ... #sepsis #shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... diagnosis #management #comparison ... #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(1st line for septic ... (distributive, septic ... Some cases of septic ... Vasopressors #Inotropes #comparison ... #table #pharmacology
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... to next step if shock ... patients with mixing ... #Shock #Algorithm ... Peds #Pediatrics #Sepsis
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Angiotensin - "Ang II" - Sepsis ... criticalcare #summary #comparison ... #table #pharmacology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... #Cardiogenic #Comparison ... #Table #Diagnosis
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... , i.e. septic shock ... FALLS #protocol #algorithm ... #CriticalCare #Shock ... #Fluids #POCUS
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
• Acute DIC - Septic ... shock, Obstetric ... Deficiencies #Summary #table ... #comparison #diagnosis
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Post-Coronarv): Stress (ie Sepsis-induced ... Occlusion • Stable ... Differential #Diagnosis #Algorithm