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diagnosis criticalcare differential comparison management cardiogenic causes cold differentiating drugs dry elevated evaluation features hypovolemic injury inopressors myocardial perioperative pharmacology
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... Classification ... DISTRIBUTIVE 66% ... CARDIOGENIC 16% • MI, CHF ... #Types #Classification
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... Acute valve dysfunction ... #Classification ... Cardiogenic #Comparison #Table
Shock Classification Types - Comparison Table JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Findings Hypovolemic Distributive ... #Types #Comparison
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Lactate > 1.5 Distributive ... Decompensated CHF ... #Classification ... Differential #Diagnosis #Types
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Causes, classification ... vasodilatation, myocardial dysfunction ... as distributive ... Differential #Causes #Types ... #Classification
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... • Most common type ... warm #wet #dry #table
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... • Distributive ... Arrhythmias / CHB ... management #comparison #table
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... - Most common type ... #Classification
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... , Non-Vascular Distribution ... Occlusion • Stable
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... or LV dysfunction ... Risk Stratify Type ... What is the type
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