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#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 ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Vasopressors and ... Inotropes - Pharmacology ... Summary Vasopressors ... #Inotropes #Pharmacology ... Summary #management #medications
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Properties #Table #Pharmacology ... #Effect #Management ... #Comparison #Inotropes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Disease, Mechanical Defect ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... hasankazmi01 #Vasopressors ... diagnosis #management #comparison
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g
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
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... SCI, severe TBI, effect ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Prepare • Full Set ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Neurogenic >> Vasopressors ... Management #Summary #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... administration, vasopressors ... Neoplasia/Warburg effect ... - HIV/HAART medications