9 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... SHOCK • MAP ... Failure, Toxins/Medications ... #Differential #Diagnosis ... #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Failure, Toxins/Medications ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pump failure): • Mechanical ... #table #comparison ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Preferred first agent ... in shock Epinephrine ... line in septic shock ... Pharmacology #Summary #management ... #medications
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... #diagnosis #differential ... guyton #curves #criticalcare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... Confirm mechanical ... sedative & pain medication ... #bradycardia #diagnosis ... #differential #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... disequilibrium syndrome • Diagnosis ... irrigation • Management ... • Hypovolemic shock ... #Pharmacology #Medications
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Awakening Trial (SAT ... scenario / sedation indication ... non-OTC prolonging agent ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management