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criticalcare differential classification management comparison treatment types algorithm cardiology pharmacology cardiogenic 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 ... CARDIOGENIC 16% • MI ... , CHF • Cold and ... Classification #diagnosis
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 #Features
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... infarction, following cardiac ... pneumothorax, cardiac ... Classification #Types #diagnosis ... warm #wet #dry #table
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential Diagnosis ... Lactate > 1.5 Distributive ... Medications, Spinal Cord ... Decompensated CHF ... Pneumothorax, Cardiac
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... contractility) - Acute MI ... Classification #Table
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... / Low SVR: • Distributive ... Medications, Spinal Cord ... Decompensated CHF ... Pneumothorax, Cardiac
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Cardiogenic: Acute MI ... Arrhythmias / CHB ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... based on cause Distributive ... #table #comparison
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... Cardiac cath if ... 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 ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB
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