11 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... pharmacology ... #pharmacology # ... inopressors #diagnosis ... #management #comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... dehydration due to renal ... adrenal crisis, drugs ... #table #comparison
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... first agent in shock ... 2 mcg/kg/min): renal ... #Summary #management ... #medications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... algorithm #treatment #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... albumin, trauma), Renal ... #diagnosis #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... sedative & pain medication ... Patients DIE: Drugs ... #bradycardia #diagnosis ... #differential #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Temp • ACS • Drugs ... Bradycardia • Renal ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Heart block Medications
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... circulation If drugs ... output - Acute pulmonary ... Alcohol • Type B2: Drugs ... - HIV/HAART medications
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... • Hypovolemic shock ... #Medications #Table
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
, bradycardia. renal ... A dissociative drug ... No pharmacologic ... #CriticalCare #diagnosis ... #management