19 results
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
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
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
• Type 2 Diabetes ... • Gestational Diabetes ... • Acromegaly Medications ... Burns, Sepsis) • Shock ... endocrinology #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... uw_IMresidency #Shock ... Diagnosis #table #comparison ... #criticalcare
Effects on body weight of various classes of type-2 diabetes medications.
 - Metformin - Weight Loss
weight of various classes ... of type-2 diabetes ... medications ... weightloss #weightgain #comparison ... #pharmacology #medications
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 Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... in blood flow caused ... Depends on the cause ... #Comparison #criticalcare
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Summary #management #medications
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
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare