6 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... : Cardiogenic shock ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
(arrhythmia in setting ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology ... #indications
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... failure, acute MI ... Differential #Diagnosis #table ... #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... guyton #curves #criticalcare
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Cardiac #catheterization