Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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anesthesia anesthesiology intraoperative differential criticalcare pharmacology vasopressors admissions admitting airway cardiacarrest cardiogenic cardiology cardiomyopathy cyanosis distributive druginduced drugs electricity failure
Summary Table of how the 4 types of shock affect the circulatory system: - Hypovolemic
Summary Table of ... the 4 types of shock ... Obstructive #Diagnosis ... #Management #Types ... #Shock #Comparison
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... - ACLS (1st), Anaphylaxis ... Vasopressors #Inotropes #management ... #criticalcare #summary ... #comparison #table
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis, Anaphylaxis ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... #table #comparison
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... ischaemia → 3-12 o Anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
) or septic shock ... devices could have caused ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... /management of shock ... note, discharge summary ... #ICU #Pearls #Checklist ... #diagnosis #workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
POTENTIAL CAUSES ... Bronchospasm → 3-4 o Anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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