16 results
#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
Inotropes - Pharmacology ... first agent in shock ... line in septic shock ... #Inotropes #Pharmacology ... Summary #management #medications
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
Pericardial tamponade, Pulmonary ... embolism 2) Understand ... hasankazmi01 #Vasopressors ... #Drugs #pharmacology ... diagnosis #management #comparison
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
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Vasopressors: ... Properties #Table #Pharmacology ... Effect #Management #Comparison
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology ... #indications
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
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
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg ... #CriticalCare