514 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... • Hypovolemic: Bleeding ... 2) Understand vasoactive ... Vasopressors #shock #Vasoactive
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... PRE-ENDOSCOPY Vasoactive ... shunt (TIPS) • Vasoactive ... Esophageal #Variceal #Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... hemostasis is acquired/vasoactive ... - Refractory Bleeding ... Variceal #Varices #Bleeding
Vasoactive Agents - Receptor Profiles
Adrenergic Profile: α → β
phenylephrine, norepinephrine, dopamine, epinephrine, dobutamine, isoproterenol

- Dr. Rishi
Vasoactive Agents ... rishikumarmd #Vasoactive
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding
Pathophysiology of Hepatorenal Syndrome - Dilation of splanchnic arteries initially compensated by increased CO eventually decompensates
RAAS, SNS, ADH) leading ... production of vasoactive
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... Predicting Risk of Rebleeding ... Diet I Active bleeding ... II Stigmata of bleeding ... Endoscopy #EGD #Risk #Rebleeding
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
first variceal bleeding ... Prevention of variceal rebleeding
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Physical • LGI Bleeding ... Stratification in GI Bleeding ... ScopingSundays #LowerGI #Bleeding
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI Bleeding ... Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Ulcer Base, Re-bleeding ... without Active Bleeding