12 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Anaphylaxis - Post-cardiac ... #Classification ... #Distributive #Cardiogenic ... #Comparison #Table
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
Diastolic Function Grading ... diastolic filling patterns ... moderate diastolic dysfunction ... #Grading #Classification ... Grades #Criteria #Table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Cardiogenic Shock ... : • Cardiogenic ... external fluid loss leading ... criticalcare #diagnosis #classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... #Classification ... warm #wet #dry #table
Algorithm for Diagnosing Diastolic Dysfunction With Doppler Echocardiography
 1. Determine the age of the patient
Algorithm for Diagnosing ... mitral inflow pattern ... pressure (LVFP): #Algorithm ... Cardiology #Diagnosis #Grading ... #Classification
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... According to Weil classification ... , cardiac and lung ... obstructive, then cardiogenic ... FALLS #protocol #algorithm
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... pneumothorax, cardiac ... #Classification
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Trans-Pulmonary Gradient ... Diastolic Pulmonary Gradient ... 0.8 indicates RV dysfunction ... CARDIAC POWER OUTPUT ... much as 40% in cardiac
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
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
» HEMODYNAMIC PATTERNS ... SVR Hypovolemic shock ... ↓ ↓ ↑ ↑ ↑ Cardiogenic ... shock ↓ 1 ↑ ... 1 ↑ Septic shock