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IDSA Algorithm for the Initial Management of Fever and Neutropenia LOW RISK • Antidpated neutropenia < 7
• Antidpated neutropenia ... < 7 days and clinically ... • Anticipated neutropenia ... >7 days or • Clinically ... #neutropenic #fever
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Burns • Neurogenic ... - Cardiogenic Shock ... - Obstructive Shock
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... trauma (a.k.a. neurogenic ... shock) Cardiogenic ... DrEricStrong #Shock
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... toxins, spinal/neurogenic ... Cold and Dry #Shock
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... , Anaphylaxis, Neurogenic ... Nesiritide 3) Treat shock ... #Vasopressors #shock
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... insufficiency • Neurogenic ... shock • Dysautonomia ... Diagnosis #Algorithm #shock
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... • Hypovolemic Shock ... Epinephrine - Neurogenic
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Shock can be broken ... Obstruction (HOCM, critical ... release syndrome), Neurogenic
Neutropenic fever Febrile neutropenia #clinical
Neutropenic fever ... Febrile neutropenia ... #clinical
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death Common Clinical ... Distributive Shock ... liver failure, neurogenic
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