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diagnosis management differential criticalcare algorithm cardiology clinical causes pocus classification pathophysiology treatment table comparison ultrasound cardiogenic pulmonary sepsis signs symptoms
Shock - Pathophysiology Inadequate tissue perfusion to meet O2, nutrient requirements 1. Distributive Shock 2. Hypovolemic Shock 3. Cardiogenic
Shock - Pathophysiology ... perfusion to meet O2 ... Distributive Shock ... Hypovolemic Shock ... Cardiogenic Shock
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
demand, decreased O2 ... SVR and altered O2 ... therefore inadequate O2 ... therefore inadequate O2 ... therefore inadequate O2
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
demand, decreased O2 ... SVR and altered O2 ... therefore inadequate O2 ... therefore inadequate O2 ... therefore inadequate O2
Causes of Generalized Hypoxia - Differential Diagnosis • Hypoxemic - Not enough O2 (Most Common) •
Hypoxemic - Not enough O2 ... faulty carrier • Shock ... Cells can't use O2
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Type A: Impaired O2 ... • Decreased O2 ... Cardiogenic & Septic Shock ... • Increased O2 ... Type B: Impaired O2
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
- Impaired O2 ... Pre-Coronarv): Shock
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
First Steps: IV, O2 ... brady, Signs of Shock
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... mixed venous O2 ... mixed venous O2
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
tremendous amount of O2 ... To compensate, O2 ... heart (Sepsis, Shock ... increase myocardial O2
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
tremendous amount of O2 ... To compensate, O2 ... heart (Sepsis, Shock ... increase myocardial O2
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