29 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... 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
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
patient with an acute ... pulmonary embolism ... branch block, ST ... in V1 - V4 #Clinical ... #criticalcare #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... uw_IMresidency #Shock ... Diagnosis #table #comparison ... #criticalcare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Prepare • Full Set ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare