25 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... • Severe bum Cardiogenic ... valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
) Cardiogenic ( ... contractility) - Acute ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... Dobutamine - Dobutrex - Cardiogenic ... - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Embolism, Tension ... #algorithm #treatment ... #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... HOCM, critical AS ... guyton #curves #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION ... CRITERIA Acute ... #Shock #Algorithm ... DCSI #Initiative #Management ... #Cardiology
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Acute Coronary Syndrome ... - Management Algorithm ... Coronary #Syndrome #ACS ... #Management #Algorithm ... #cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... insufficiency, acute ... embolism or severe ... types #diagnosis #management ... #criticalcare #