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diagnosis differential management cardiology elevation table treatment vasopressors acidosis adenosine adverseeffects algorithm bradycardia cardiacstresstest causes classification coronarystenosis criticalcare dosing electrocardiogram
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... embolism 2) Understand ... pharmacology ... #pharmacology # ... diagnosis #management #comparison
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
PDE5 inhibitors are usually the drugs of first choice for erectile dysfunction. PDE5 inhibitors enhance an erection that is
are usually the drugs ... Drug interactions ... with caution - e.g ... #pharmacology #comparison ... #treatment #medications
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... line in septic shock ... Vasopressors #Inotropes #Pharmacology ... Summary #management #medications
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... Patients DIE: Drugs
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... PALPITATIONS: Medications ... • Serotonergic drugs ... Pheochromocytoma • Pulmonary
Hydroxychloroquine is an antimalarial & DMARD (disease modifying antirheumatic drug). It is currently being discussed as
side effects (e.g ... (e.g. azithromycin ... who require this medication ... have stock. ... Hydroxychloroquine #HCQ #Pharmacology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Embolism: • T-wave ... Sodium-channel blocking drugs ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... circulation If drugs ... output - Acute pulmonary ... - HIV/HAART medications
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
ICU, Formulas & Drugs ... Hypovolemic shock ... ↑ Cardiogenic shock ... Embolism ↓ ↑ ... LCWI 3.4-4.2 kg
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