31 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... is not desired (e.g ... is not desired (e.g ... Inotropes #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... DrEricStrong #Shock ... Classification #Table
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Effectiveness #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... #Vasopressors #shock ... management #comparison #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... Signs of shock or ... 2 J/kg - Dr.
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... telemetry, 12-Lead EKG ... • Obstructive Shock ... - MI, arrhythmia
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... Acute DIC - Septic shock ... Deficiencies #Summary #table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... function tests if shock ... treatment for acute MI ... Checklist #CHF #Shock