12 results
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors Demystified ... Shock comes ... #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
organ dysfunction caused ... SHOCK is a subset ... shock are identified ... #Criteria #Diagnosis ... #SIRS #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... Angiotensin - "Ang II" - Sepsis ... #Inotropes #management ... #criticalcare # ... summary #comparison
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... anaphylaxis, 2nd line in septic ... shock Vasopressin ... Pharmacology #Summary #management ... #medications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... Bradyarrhythmias, Some cases ... of septic shock ... #Inotropes #comparison ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... 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 ... findings based on cause ... Vascular tone): • Sepsis ... Diagnosis #table #comparison ... #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Prepare • Full Set ... - Septic ... Neurogenic >> Vasopressors ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... SEPTIC SHOCK • ... #Shock #Management ... #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... strategy as for septic ... shock (e.g. moderate ... amount fluid, vasopressors ... #CriticalCare