11 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... ), LV Failure (MI ... Valves (wide open MR ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... dilated IVC - Cardiac ... - MI, arrhythmia ... Cardiac surgery? ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... & Dry) is the treatment ... essentially Cardiogenic Shock ... Cardiac cath if ... #table #foamed
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... heart (Sepsis, Shock ... are typically able ... #criticalcare #foamed ... #treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB ... management #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
This becomes a flawed ... of the resting cardiac ... heart (Sepsis, Shock ... are typically able ... cardiology #clinica l#foamed
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
• Bleeding • Cardiac ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Medications #Table