14 results
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... Non-Response to Vasopressors ... reaching for a vasopressor ... hypotension is treatment ... shock #Diagnosis
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors Demystified ... Shock comes ... flavors and so do vasopressors ... #Basics #CriticalCare ... #Management #Pharmacology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... Bradyarrhythmias, Some cases ... Cardiac ischemia #Vasopressors ... comparison #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... pressor added in shock ... @EmmGeezee #Vasopressors ... Inotropes #management #criticalcare ... comparison #table #pharmacology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Inotropes - Pharmacology ... first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
organ dysfunction caused ... infection SEPTIC SHOCK ... Patients w/ septic shock ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Neurogenic >> Vasopressors ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... SHOCK • Ensure ... • Begin vasopressor ... perfusion, begin vasopressor ... #CriticalCare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... ->treatments include ... administration, vasopressors ... before beginning treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... essentially Cardiogenic Shock ... the determined cause ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology