12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... • Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... failure from massive pulmonary ... embolism or severe pulmonary ... gastrointestinal bleeding ... diagnosis #management #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... of other major bleeding ... #AcutePE #Management ... #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Management #Summary #criticalcare ... #treatment #workup
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... dysfunction (16%) • Shock ... Schistocytes, helmet cells ... Treatment: ... diagnosis #causes #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... drained if causing acute ... Revascularization, treatment ... for acute MI if ... #HeartFailure #Cardiology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
pulmonary edema ... • Hypovolemic shock ... with specific bleeding ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... essentially Cardiogenic Shock ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
., uptake by cells ... ->treatments include ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... heart (Sepsis, Shock ... dilated vessels, or acutely ... management #clinical #criticalcare ... #foamed #treatment