25 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... index) -systemic vascular ... #Differential #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Pulmonary ... vascular → RV failure ... from massive pulmonary ... embolism or severe pulmonary ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... Treatment Goals ... criticalcare #algorithm #treatment
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Heart Failure, Valvular ... Pericardial tamponade, Pulmonary ... management #comparison #table
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... hemochromatosis) Valvular ... Tamponade, pulmonary ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Infarction • Stable ... • Myocarditis Pulmonary ... Mediastinal Causes: - Vascular ... • Pulmonary ... ChestPain #Noncardiac #Cardiology
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Normal Hilar Anatomy ... possible to be able ... branches and the pulmonary ... drdevrad #Hilar #Anatomy ... CXR #clinical #radiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
VASCULAR RESISTANCE ... with cardiogenic shock ... SYSTEMIC VASCULAR ... or hypovolemic shock ... catheter #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... Revascularization, treatment ... Checklist #CHF #Shock ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Tachycardia #Treatment ... #management #cardiology