13 results
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
Pressors and Inotropes ... > Inotropy Vasopressin ... #criticalcare # ... pharmacology #comparison ... #shock #management
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
- Obstructive (Mechanical ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare # ... Symptoms #Findings #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... Valvular Disease, Mechanical ... #inopressors #diagnosis ... #management #comparison ... #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #management #criticalcare ... #summary #comparison ... #table #pharmacology ... #indications
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pump failure): • Mechanical ... adrenal crisis, drugs ... #table #comparison ... #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 - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Vasopressors, Inotropes ... #Diagnosis #Management ... #Summary #criticalcare
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
caused by specific medications ... barbituates, “Z-drugs ... antihistamines #Diagnosis ... Toxicology #Toxidromes #Comparison ... #Table #Anticholinergics
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... Confirm mechanical ... Patients DIE: Drugs ... #bradycardia #diagnosis ... #differential #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... potentially causative drugs ... as for septic shock ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare