17 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Acute valve dysfunction ... Prosthetic valve dysfunction ... Cardiogenic #Comparison #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
: State of cellular ... END-ORGAN DYSFUNCTION ... pneumothorax, cardiac ... Types #diagnosis #management ... warm #wet #dry #table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Algorithm for patients ... with Stable Angina ... LMCA lesion -> Cardiac ... outpatient with a stable ... #ISCHEMIA #Stable
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP Stable ... Signs of shock or ... #Algorithm #peds
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... #Algorithm #DCSI ... #Initiative #Management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... • Effusion • Cardiac ... Myocardial • Systolic Dysfunction ... • Diastolic Dysfunction ... Artery Disease • Stable
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
State of cellular ... END-ORGAN DYSFUNCTION ... infarction, following cardiac ... pneumothorax, cardiac ... types #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology ... #treatment #table ... #foamed #heartfailure
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... medical and surgical management