14 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Decompensated CHF ... • Obstructive: Pulmonary ... algorithm #treatment #management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... Pharmacology #Summary #management ... #medications
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... sedative & pain medication ... #differential #management ... #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
blocking agent • Shock ... Hyperkalemia Pulmonary ... Heart block Medications ... differential #diagnosis #causes ... #cardiology #BRADI
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
: Rate/Rhythm (bradycardia ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary ... Arrhythmias: • SVT ... & termination: SVT ... #Palpitations #Cardiology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... (cardiogenic pulmonary ... patients (ie., CHF ... hair) • Risk Of Clinical ... #criticalcare #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... , Cardiogenic shock ... Myocarditis #diagnosis #management ... #cardiology #summary
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Na delivery): CHF ... Peak T, flat P, ST ... only if no clear cause ... STOP offending medications