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diagnosis criticalcare differential management classification causes comparison inotropes overview pharmacology summary table vasopressors afterload algorithm artery betablocker calculations cardiacoutput cardiology
Mean Arterial Pressure (MAP) Average arterial pressure throughout one cardiac cycle, systole, and diastole. Surrogate indicator of
Cardiac Output (CO ... (CVP) MAP = (CO ... dromotropy, and lusitropy ... chronotropy #dromotropy #lusitropy ... #SV #lvdv
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... Distributive: • High CO ... Cardiogenic: • Low CO ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO ... third-spacing • ↓ CO ... arrhythmia • ↓ CO ... uw_IMresidency #Shock
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... inadequate blood flow (CO ... Pump Problem (↓ CO ... may develop low CO
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Lactate > 1.5 High CO ... Cord Injury Low CO ... Dehydration Shock ... Sophia_Hayes_MD #Shock
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... - Low CO and therefore ... - Low CO and therefore ... - Low CO and therefore
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR, CO ... first agent in shock ... Increases HR, SVR, CO ... line in septic shock ... contractility, CO
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... - Low CO and therefore ... - Low CO and therefore ... - Low CO and therefore
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... line for septic shock ... ), Cardiogenic shock ... (mild ↑CO) - Side ... , Shock where ↑
DO2 Equation in Shock = Oxygen Delivery DO2 = CO x (1.39 x [Hb] x SaO2 +(0.003xPaO2)) DO2
DO2 Equation in Shock ... Delivery DO2 = CO ... ml per minute) CO ... DO2 #Equation #Shock
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