14 results
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... • Neurogenic Cold ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic ... #Algorithm #causes
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Classification DISTRIBUTIVE ... HYPOVOLEMIC 16% ... 16% • MI, CHF ... and Dry #Shock ... Classification #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Hypovolemic ... Intractable vomiting Distributive ... exacerbation (any cause ... pneumothorax Dr ... Classification #Table
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 #Features
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... cardiomyopathy HYPOVOLEMIC ... (Cold and Dry) ... Classification #Types #diagnosis ... #table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Algorithm Hypovolemic ... hypertension Distributive ... Obstructive: • Cardiac ... pericarditis Dr ... #causes
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... pneumothorax, cardiac ... cardiomyopathy HYPOVOLEMIC ... (Cold and Dry): ... Classification #types #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
MAP = CO x SVR Hypovolemic ... failure, acute MI ... findings based on cause ... Distributive (↓ ... #table #comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive ... Cardiogenic: Acute MI ... Arrhythmias / CHB • Hypovolemic ... #inopressors #diagnosis ... management #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Pneumothorax • Hypovolemic ... Shock - Dry ... Cardiac surgery? ... • Distributive Shock