23 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Diagnosis SHOCK ... Failure, Toxins/Medications ... Decompensated CHF ... , CVP > 12 • Pulmonary ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Decompensated CHF ... • Obstructive: Pulmonary ... Diagnosis #criticalcare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... #Differential # ... Diagnosis #Classification ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential # ... #Table #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... #diagnosis #differential ... guyton #curves #criticalcare
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... #NormalValues #Differential ... #Table #Chambers ... PCWP #Pressures #SVR
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
celiac disease, CF ... Anticoagulant Medications ... Acute DIC - Septic shock ... Deficiencies #Summary #table ... #comparison #diagnosis