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diagnosis criticalcare differential classification management comparison treatment types algorithm cardiology pharmacology cardiomyopathy clinical drugs dry features heartfailure hypovolemic icu inopressors
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... Classification DISTRIBUTIVE ... and Dry CARDIOGENIC ... 16% • MI, CHF ... and Dry #Shock
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
peritoneal, RP) Distributive ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... contractility) - Acute MI ... Classification #Table
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Lactate > 1.5 Distributive ... Medications, Spinal Cord ... Injury Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... myxedema, beriberi CARDIOGENIC ... infarction, following cardiac ... pneumothorax, cardiac ... warm #wet #dry #table
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
/ Low SVR: • Distributive ... Medications, Spinal Cord ... High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... management #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... Differential #Diagnosis #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... cardiology #treatment #table ... #foamed #heartfailure ... #chf #criticalcare
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... May have typical HF ... Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB
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