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criticalcare diagnosis management differential shock acutepe algorithm cardiacstresstest coronarystenosis curves endocarditis guyton lexiscan myocardialperfusionimaging nonobstructivecoronaryarterydisease nuclearstresstest pharmacologicalstressagents regadenoson undifferentiated
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... Dehydration Shock Treatment ... ) UOP > 0.5 cc/kg
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... block (+/- daily EKG
Pulmonary Embolism Treatment Systemic Thrombolysis - Exclude contraindications. - Indications: - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... - Indications ... Low dose 0.5 mg/kg ... #Embolism #Treatment
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
Acute pulmonary ... embolism Acute ... myocardium Severe pulmonary ... when baseline EKG ... greater than 1 mm ST-segment
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