10 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... pulmonaryembolism #AcutePE #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... block (+/- daily EKG ... #criticalcare #
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive Shock ... Pulmonary embolism ... #Comparison #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... - Review of medication ... as for septic shock ... #Pancreatitis #Checklist ... Diagnosis #Management #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Prepare • Full Set ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... Embolism ↓ ↑ ... LCWI 3.4-4.2 kg