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Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... external fluid loss leading ... #Comparison #criticalcare ... #diagnosis #classification
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure from massive pulmonary ... embolism or severe pulmonary ... gastrointestinal bleeding ... Classification #types #diagnosis ... #management #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... • Obstructive: Pulmonary ... Treatment Goals ... #criticalcare # ... algorithm #treatment
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... Massive #Hemoptysis #Diagnosis ... #Management #treatment ... #workup #pulmonary ... #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential ... guyton #curves #criticalcare
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
dysfunction (16%) • Shock ... Schistocytes, helmet cells ... Treatment: ... #Coagulation #diagnosis ... #causes #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... causing hypovolemia needing ... essentially Cardiogenic Shock ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Torsemide) • Acute pulmonary ... • Hypovolemic shock ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology
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