7 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
and Vasoactive Drugs ... Valvular Disease, Mechanical ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pump failure): • Mechanical ... adrenal crisis, drugs ... #comparison #criticalcare
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
RHABDOMYOLYSIS - Drugs ... ICU, steroids, mechanical ... ventilation) • ... #Elevated #CK #differential ... #diagnosis #rhabdomyolysis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... algorithm #treatment #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Confirm mechanical ... Patients DIE: Drugs ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... cardiomyopathy • Mechanical ... PALPITATIONS: Medications ... • Serotonergic drugs ... Pheochromocytoma • Pulmonary
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... disease • Drugs ... stenosis • Mechanical ... Fibrillation #AFib #diagnosis ... #management #cardiology