10 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
, Acute Heart Failure ... Arrhythmias / CHB • Hypovolemic ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... MAP = CO x SVR Hypovolemic ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Hypovolemic ... contractility) - Acute MI ... - Severe heart ... Classification #Table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
distributive, hypovolemic ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Losses (bums, heat ... #diagnosis #differential
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... cardiogenic or hypovolemic ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... pneumothorax, cardiac ... cardiomyopathy HYPOVOLEMIC ... Classification #Types #diagnosis ... warm #wet #dry #table
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... • Bleeding • Cardiac ... arrest • Hypovolemic ... shock V2 receptor-agonist ... #Medications #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... patient causing hypovolemia ... essentially Cardiogenic Shock ... Cardiac cath if ... cardiology #treatment #table