14 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
), Cardiogenic shock ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table ... #pharmacology #criticalcare
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 ... #differential #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... Classification #Table ... #CriticalCare
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 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 Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Lactate > 1.5 Distributive ... Medications, Spinal Cord ... Injury Cardiogenic ... Pneumothorax, Cardiac ... Diagnosis #Types #criticalcare
Shock Types - Classification
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 ... diagnosis #management #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... Differential #Diagnosis #table ... #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... , obstructive, distributive ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
/ Low SVR: • Distributive ... Medications, Spinal Cord ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Differential #Diagnosis #criticalcare