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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diagnosis criticalcare management causes classification comparison injury vasopressors acute aki curves drugs elevated guyton hypotension indications inopressors inotropes kidney myocardial
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... hypertension Distributive ... pancreatitis • Medication
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... , Cardiorenal, Distributive ... Shock, HRS, Hypercalcemia ... Kidney #Injury #Differential ... nephrology #causes #algorithm
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Distributive ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... management #comparison #table
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Intractable vomiting Distributive ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... / Low SVR: • Distributive ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... #criticalcare #algorithm
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential ... Lactate > 1.5 Distributive ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Classification #Differential
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Ang II" - Sepsis/distributive ... summary #comparison #table ... #pharmacology # ... indications
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
, obstructive, distributive ... Cardiac Tamponade, Pulmonary ... Problem (↓ SVR): • DISTRIBUTIVE ... thyrotoxicosis), Medications ... #diagnosis #differential
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... , Non-Vascular Distribution ... Occlusion • Stable
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