16 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Classification ... Cardiogenic #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... Differential #Diagnosis #Classification ... #Table #CriticalCare
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
of Cardiogenic Shock ... Classification ... experiencing cardiac ... #Cardiogenic #Shock ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... infarction, following cardiac ... pneumothorax, cardiac ... #Classification ... warm #wet #dry #table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Unstable/cardiogenic shock ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... in rom - Patient ... dilated IVC - Cardiac ... - MI, arrhythmia ... Cardiac surgery?
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
shown to improve patient-important ... or the type of shock ... severe cardiogenic shock ... output (ie, cardiac ... #Differential #Table
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
lactate means the patient ... critically ill patient ... perfusion - Cardiac ... failure - Low cardiac ... #typea #typeb #classification
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