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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Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... cardiomyopathy Acute ... #Classification ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... β€’ Cardiogenic: Acute ... MI, Acute Heart ... inopressors #diagnosis #management ... #comparison #table
Summary of Coagulation Deficiencies
Inherited:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Anticoagulant Medications ... DIC - Septic shock ... catastrophes, Acute ... Deficiencies #Summary #table ... #comparison #diagnosis
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology ... #indications
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... insufficiency, acute ... #Classification ... Types #diagnosis #management ... warm #wet #dry #table
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... exercise, after acute ... Fibrillation #AFib #RVR #Medications ... #management #treatment ... #comparison #table
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
Hyperkalemia The goals of acute ... Figure 3 is an algorithm ... for the management ... hyperkalemia, and Table ... #Management #Medications
β–Ί
Stepwise management of acute headache in the emergency department 

1) Metoclopramide 10 mg IV or prochlorperazine
Stepwise management ... of acute headache ... All medication should ... therapy listed in Table ... #Stepwise #Algorithm