21 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Diagnosis and Workup ... #criticalcare # ... Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... exacerbation (any cause ... #Differential # ... Classification #Table ... #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... and Survey 4) Workup ... #Summary #criticalcare ... #treatment #workup
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
organ dysfunction caused ... infection SEPTIC SHOCK ... Patients w/ septic shock ... #QSOFA #SIRS #criticalcare ... #icu
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... failure, esp in work-up ... /management of shock ... : • For most ICU ... #criticalcare
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... #Screening #Workup ... #table
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... Ameliorate increased work ... #Shock #Management ... #CriticalCare