5 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... Arrhythmias / CHB • Hypovolemic ... #inopressors #diagnosis ... #management #comparison ... #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis ... #Features #Signs
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
MAP = CO x SVR Hypovolemic ... failure, acute MI ... findings based on cause ... adrenal crisis, drugs ... #table #comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... of intravenous drug ... #Endocarditis #comparison ... #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... patient causing hypovolemia ... essentially Cardiogenic Shock ... the determined cause ... cardiology #treatment #table