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diagnosis differential management clinical cardiology algorithm causes neurology criticalcare pocus video physicalexam classification echocardiogram pathophysiology treatment syndrome table signs symptoms
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
of Cardiogenic Shock ... Fibrillation AV nodal dysfunction ... , Sinus nodal dysfunction ... #Cardiogenic #Shock
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction
Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... #Cardiogenic #Shock
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... cellular/metabolic dysfunction ... Infection + Organ dysfunction ... infection + organ dysfunction ... to assess organ dysfunction
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
compensatory responses to shock ... Shock can be caused ... vasodilatation, myocardial dysfunction ... Shock can also present ... The cause of shock
Systemic Inflammatory Response Syndrome (SIRS) Criteria - Definitions of Sepsis, Severe Sepsis and Septic Shock Systemic Inflammatory
Sepsis and Septic Shock ... drop > 40 (Organ dysfunction ... hypoperfusion) Septic Shock
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Sepsis • Organ dysfunction ... hypoperfusion/organ dysfunction ... Septic Shock • ... #sepsis #sirs #shock
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
• Hypovolemic shock ... Severe kidney dysfunction ... Nervous System Dysfunction
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... with cardiogenic shock ... 0.63 predicted RV dysfunction ... or hypovolemic shock
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition ... shock, cryptic ... shock. ... END-ORGAN DYSFUNCTION
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