24 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... hypertension Rx ... shock #Checklist ... #CHF #Shock #Cardiogenic
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... 4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Cardiac Tamponade, Pulmonary ... , Medications (anesthesia
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... Dobutamine - Dobutrex - Cardiogenic ... - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... summary #comparison #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all ... Hemodynamics (Stable ... , Transient Hypotension ... , Shock) Excerpted ... prognostication #diagnosis #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... Cold and Dry) • Pulmonary ... hypertension ... Types #diagnosis #management ... warm #wet #dry #table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... SHOCK INITIATIVE ... ShockHypotension ... TIMI III flow in all ... DCSI #Initiative #Management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... artery hypertension ... #Differential #Table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... failure from massive pulmonary ... embolism or severe pulmonary ... hypertension • ... types #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Diagnosis #Management