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diagnosis criticalcare differential classification management types algorithm causes comparison treatment cardiology overview pharmacology artery calculations catheter catheterization chf clinical curves
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Extremities - Distributive ... • Neurogenic Cold ... Extremities - Cardiogenic ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic
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 Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... Classification DISTRIBUTIVE ... Warm and Dry HYPOVOLEMIC ... and Dry CARDIOGENIC ... 16% • MI, CHF
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Classification Hypovolemic ... Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... Classification #Table
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... myxedema, beriberi CARDIOGENIC ... pneumothorax, cardiac ... cardiomyopathy HYPOVOLEMIC ... warm #wet #dry #table
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... , obstructive, distributive ... , hypovolemic Pump ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac
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 ... Tamponade Hypovolemic
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB • Hypovolemic ... management #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
MAP = CO x SVR Hypovolemic ... pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... Differential #Diagnosis #table
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
/ Low SVR: • Distributive ... Medications, Spinal Cord ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... compression • Hypovolemic
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