8 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Diagnosis SHOCK ... CO / High SVR, JVP ... >8, CVP > 12 ... < 6, CVP < 8 ... #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... #comparison #criticalcare
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Atrioventricular dissociation ... it indicates AV dissociation ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... Atrioventricular dissociation ... - Large cv waves ... Jugular #Waveforms #JVP ... #Differential #
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... #PhysicalExam #JVP ... #Cardiology #Neck
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... - Distended neck ... crackles, elevated JVP ... #Summary #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Venous Pressure (CVP ... ): Measures CVP ... pressure, similar to CVP ... #criticalcare # ... comparison #challenges
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... ECG is vital while ... essentially Cardiogenic Shock ... #diagnosis #differential ... heartfailure #chf #criticalcare