Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic • Cardiogenic: Acute MI, Acute Heart Failure, Valvular Disease, Mechanical Defect (papillary muscle rupture, VSD, etc.), Ventricular Arrhythmias / CHB • Hypovolemic: Bleeding, Extreme Dehydration, Severe Burns, Pancreatitis • Obstructive: Pericardial tamponade, Pulmonary embolism 2) Understand vasoactive drug pharmacology • Pure Vasoconstrictors: Vasopressin, Phenylephrine • Ino-Constrictors: Norepinephrine, Epinephrine, Dopamine • Ino-Dilators: Dobutamine, Isoproterenol, Milrinone • Pure Vasodilators: Nitroglycerin, Nitroprusside, Nesiritide 3) Treat shock & address underlying etiology Dr. Hasan Kazmi @hasankazmi01 #Vasopressors #shock #Vasoactive #Drugs #pharmacology #inopressors #diagnosis #management #comparison #table
