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diagnosis pharmacology inotropes nephrology summary differential hyponatremia sepsis siadh sirs table algorithm basics checklist criteria curves diuresis diuretics excretion guyton
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
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
first agent in shock ... line in septic shock ... Dose dependent receptor ... Pharmacology #Summary #management ... #medications
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... #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
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... 1 • Increase SVR ... Pressors #Inotropes #criticalcare ... #pharmacology #comparison ... #shock #management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Prepare • Full Set ... Neurogenic >> Vasopressors ... #Summary #criticalcare ... #treatment #workup
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... recognition and treatment ... resuscitation 3 Vasopressor ... #QSOFA #SIRS #criticalcare
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... glycemic control, DVT ... #sepsis #sirs #shock
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... post-operative phenomenon, medications ... bolus of 0.9% NS Vasopressor ... receptor antagonists ... hyponatremia #nephrology #treatment
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
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