10 results
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 - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... ) Cardiogenic ( ... contractility) - Acute MI ... Classification #Table
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 ... #diagnosis #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... #table #comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... #inopressors #diagnosis ... management #comparison #table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Pressures and Calculations ... CARDIAC POWER OUTPUT ... Catheterization #RHC #PACatheter ... #calculations # ... #diagnosis #cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... #Diagnosis #PACatheter ... #Differential #Table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... resuscitation • Cardiogenic ... Shock - MI ... Cardiac surgery? ... • Distributive Shock
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 ... Classification #Types #diagnosis ... warm #wet #dry #table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB ... follow-up with Cardio-OB