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management diagnosis differential pharmacology vasopressors classification summary table acidosis algorithm causes cpap curves delivery devices elevation flow guyton lactate lactic
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
Pressors and Inotropes ... > Inotropy Vasopressin ... #criticalcare # ... pharmacology #comparison ... #shock #management
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
potentially improving SV ... mortality, LOS NIPPV Indications ... Pt is DNI with indication ... #BPAP #indications ... #criticalcare #
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... Vasopressin - Indication ... #Vasopressors #Inotropes ... #comparison #table ... #pharmacology #criticalcare
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... line in septic shock ... , not inotropic/ ... Summary #management #medications
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison ... #pharmacology #indications
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... Failure, Toxins/Medications ... Sophia_Hayes_MD #Shock ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... High CO / Low SVR ... Failure, Toxins/Medications ... Low CO / High SVR ... Differential #Diagnosis #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
Ventilation (MV) = VT ... variable and fixed - indicating ... /BPAP/ventilator ... Devices #Flow #Comparison ... #management #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... vasopressors, or inotropes ... • Type B1: - Diabetes ... - HIV/HAART medications
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