Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
type and etiology ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... >> Acute PE, Tension ... #Diagnosis #Management ... #Summary #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... insufficiency, acute ... embolism or severe pulmonary ... #diagnosis #management ... #criticalcare #
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
β€’ Most common type ... insufficiency, acute ... Classification #Types ... #diagnosis #management ... warm #wet #dry #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of ... shock remains undetermined ... (eg, acute valvular ... #Differential #Table
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
potentially causative drugs ... as for septic shock ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... β€’ Diagnostic ... β€’ Inotropic drugs ... Plan definitive management ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... annotate notes/drug ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
/management of shock ... will also get an EKG ... and CXR ... Pearls #Checklist #diagnosis ... #workup #criticalcare