7 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... > Inotropy Vasopressin ... #criticalcare # ... pharmacology #comparison ... #shock #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #management #criticalcare ... #summary #comparison ... #table #pharmacology ... #indications
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... line in septic shock ... Pharmacology #Summary #management ... #medications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... effects: Reflex bradycardia ... #Vasopressors #Inotropes ... #comparison #table ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pump failure): • Mechanical ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... brady, Signs of Shock ... Confirm mechanical ... sedative & pain medication ... #differential #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... patients need inotrope ... and perhaps even mechanical ... cardiology #treatment #table ... heartfailure #chf #criticalcare