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Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... / hypoxemia -> focus ... on improving perfusion ... Reduced tissue perfusion
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Diagnosis Framework Type ... Cardiogenic & Septic Shock ... Microcirculatory dysfunction ... Type B: Impaired ... Mitochondrial dysfunction
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... diminished tissue perfusion ... END-ORGAN DYSFUNCTION ... - Most common type ... Hemorrhagic → leading
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... END-ORGAN DYSFUNCTION ... • Most common type ... Hemorrhagic → leading ... Classification #Types
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Troponin, Lactate ... edema - Large effusion ... nitroglycerine infusion ... severe or w/ organ dysfunction