52 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Failure, Valvular ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... vascular → RV failure ... from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... valvular rupture ... vascular → RV failure ... from massive pulmonary ... Types #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... , Vascular compression ... algorithm #treatment #management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... index) -systemic vascular
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... , Distributive Shock ... Abdominal Compartment Syndrome ... Intra-Renal: • Vascular ... SCVMCMed #AKI #Acute
Causes of Pediatric Wheezing - Differential Diagnosis Algorithm
CXR Abnormal:
 • Pulmonary Sequestration
 • Congenital Adenoid Cystic
Abnormal: • Pulmonary ... Endobronchial Disease: • Vascular ... Compression Syndrome ... Algorithm #Causes #Peds ... #Pediatrics #Pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... vascular permeability ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Volume x Peripheral Vascular ... • Sick sinus syndrome ... depletion • Pulmonary ... • Vasodilatory meds ... muscle rupture • Acute
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... Distributive (↓ Vascular ... anaphylaxis, release syndrome ... uw_IMresidency #Shock