21 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... Increase SVR > Inotropy ... #criticalcare # ... pharmacology #comparison ... #shock #management
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
pressor pedagogical device ... Vasopressors #Basics #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 ... Blood Pressure, Pulmonary ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery Devices ... Variable devices ... Devices delivering ... #Flow #Comparison ... #management #criticalcare
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
FiO2: 40 - 60% Device ... respiratory #support #devices ... #management #pulmonary ... #comparison
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Rx 4 — Consider inotrope ... considered a weak inotropic ... Organ failure — device ... #Checklist #CHF
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery Devices ... - Comparison Low ... Oxygen #Delivery #Devices ... #Comparison #table ... #pulmonary #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... #indications #criticalcare ... #management