16 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... MI, Acute Heart Failure ... Valvular Disease, Mechanical ... Arrhythmias / CHB ... management #comparison #table
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
, heart failure; ... HFpEF, heart failure ... hypertrophy; MCS, mechanical ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Severe heart failure ... Obstructive (Mechanical ... Classification #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... bradyarrhythmias • Mechanical ... vascular → RV failure ... hypertension • Mechanical ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Decompensated CHF ... Dehydration Shock ... #criticalcare #algorithm
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... ): • Mechanical ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
rebreathing or mechanical ... peak, not end-tidal ... obstructed • MECHANICAL ... OBSTRUCTION - Fixed mechanical ... indicate: - Shock
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... Stage D CHF is frequently ... end-stage heart failure ... LVAD- an external mechanical ... Stages #ACCAHA #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... present Rx 6 — Mechanical ... #Checklist #CHF ... #Shock #Cardiogenic
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... heart failure ... tachycardia #Management #Algorithm