9 results
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
sense, ventilator modes ... determined by the mode ... there are many modes ... #Comparison #management ... #criticalcare
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
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
of Ventilator Modes ... - Hybrid PC mode ... #Ventilator #Modes ... #Ventilation #CriticalCare ... #Comparison #Management
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
1 • Increase SVR ... 1 • Increase SVR ... Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management
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
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO x SVR ... uw_IMresidency #Shock ... Diagnosis #table #comparison ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Inotropes #management #criticalcare ... #summary #comparison ... #pharmacology #indications
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
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... -10mcg/min IV Set ... Set pacemaker to ... Demand mode. ... sedative & pain medication