15 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 - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and Inotropes ... first agent in shock ... line in septic shock ... Pharmacology #Summary #management ... #medications
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... #Vasopressors #Inotropes ... #management #criticalcare ... #summary #comparison ... #pharmacology #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Prepare • Full Set ... Vasopressors, Inotropes ... #Summary #criticalcare ... #treatment #workup
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Injury (AKI) - Management ... not ACEIs) +/- inotropes ... → No specific treatment ... • AIN → Consider ... #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... from CHF, Chest Pain ... Administer sedative & pain ... medication. 3) ... #differential #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... as for septic shock ... Pain control - ... gram Q6hr) and pain-dose ... #CriticalCare