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diagnosis management differential algorithm causes criticalcare injury table classification cardiology clinical gastroenterology aki hepatology nephrology pharmacology chf comparison kidney liver
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Dysrhythmia • Acute ... infarction • Acute ... ventricular outflow obstruction ... Dysautonomia Obstructive
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute ... - Myocarditis Obstructive ... (Mechanical obstruction
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... • Cardiogenic: Acute ... MI, Acute Heart ... Pancreatitis • Obstructive
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... : cardiogenic, obstructive ... contusion) • OBSTRUCTIVE ... Embolism, Outflow Obstruction
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... cardiomyopathy Acute ... LV outflow Obstruction
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Causes of Acute ... Autoimmune hepatitis, Acute ... biliary obstruction ... Hepatic Artery: Shock ... Intrahepatic • Obstructive
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Injury (AKI) - Acute ... Hypotension • Shock ... Pigments Tubular Obstruction ... ) Post-Renal (Obstruction
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... and Reverse • Obstructive ... - Pulmonary >> Acute ... #criticalcare #treatment
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... , Distributive Shock ... Post-Renal: • Obstruction ... SCVMCMed #AKI #Acute
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Arrhythmia • Obstructive ... Dehydration Shock ... Treatment Goals ... criticalcare #algorithm #treatment
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