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Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... ill patient with shock ... perfusion - shock ... vasopressors, or inotropes
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... of Shock HEMORRHAGIC ... SHOCK • Ensure ... CARDIOGENIC SHOCK ... vasopressor or inotropic
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
Pressors and Inotropes ... Increase SVR > Inotropy ... 2, alpha 1 • Inotropy ... inhibitor • Inotropy ... pharmacology #comparison #shock
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... : Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... #Vasopressors #Inotropes
Vasopressors - Charted by Vasoconstriction, Vasodilation, and Inotropy - Dobutamine - Milrinone - Vasopressin -
Vasodilation, and Inotropy ... #Vasodilation #Inotropy ... Pharmacology #Visual #Inotropes
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... pressor added in shock ... in refractory shock ... in setting of shock ... #Vasopressors #Inotropes
Inotropic agents in current use for the treatment of heart failure #heartfailure #cardiology #ionotropes #epinephrine #norepinephrine #dopamine #dobutamine
Inotropic agents ... #cardiology #ionotropes
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Pts: cardiogenic shock ... therapy, including inotropes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... the determined cause
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