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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Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... how the 4 types ... of shock affect ... Obstructive #Diagnosis ... #Shock #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... be used in all types ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... Comparison Obstructive ... Pulmonary embolism ... #Shock #Types #Pathophysiology ... #diagnosis #classification
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... criticalcare #summary #comparison ... #table #pharmacology ... #indications
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential Diagnosis ... Failure, Toxins/Medications ... , CVP > 12 β€’ Pulmonary ... #Differential #Diagnosis ... #Types #criticalcare
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
relying heavily on clinical ... The table below ... #Diagnosis #Myocardial ... #NSTEMI #Comparison ... #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
β€’ Most common type ... Cold and Dry) β€’ Pulmonary ... 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 ... severe cardiogenic shock ... #Differential #Table
Summary of Coagulation Deficiencies
Inherited:
 β€’ Hemophilia A - Deficiency of Factor VIII
 β€’ Hemophilia B -
Anticoagulant Medications ... Acute DIC - Septic shock ... Deficiencies #Summary #table ... #comparison #diagnosis