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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criticalcare anesthesia anesthesiology intraoperative differential pharmacology treatment vasopressors admissions admitting anaphylaxis cardiogenic cardiology cardiomyopathy druginduced drugs electricity elevated failure hypotension
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
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Examine for a cause ... Hypovolemic • Distributive ... Obstructive 4) Diagnosis ... and Workup 5) ... #criticalcare #Shock
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... • Distributive Shock ... #Diagnosis #Management
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Ang II" - Sepsis/distributive ... 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 ... #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 ... Distributive (↓ ... #table #comparison
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
and Workup Algorithm ... Pre-Coronarv): Shock ... , Non-Vascular Distribution ... Occlusion • Stable ... #Algorithm
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
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... • Immunologic Workup ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
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