9 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... #criticalcare #pharmacology ... #comparison #shock
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... is not desired (e.g ... #Vasopressors #Inotropes ... #comparison #table ... #pharmacology #
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and Inotropes ... - Pharmacology ... first agent in shock ... line in septic shock ... #Pharmacology #
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... #Vasopressors #Inotropes ... criticalcare #summary #comparison ... #table #pharmacology
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... CriticalCare #Management #Pharmacology ... #Comparison #Inotropes
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Receptor, Heart Rate/Inotropy ... 0.375-0.75 mcg/kg ... Properties #Table #Pharmacology ... Effect #Management #Comparison ... #Inotropes
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... vasopressors or inotropes ... #Algorithm #DCSI
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... patients need inotrope ... #differential #algorithm ... icu #clinical #pharmacology
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Lipase, CK • ECG ... ICU • Consider inotropic ... Intubate • Consider inotropic ... CPR • Max 3 shocks ... management #treatment #algorithm