Cardiogenic shock: Difference between revisions

Revision as of 00:10, 8 November 2013

Myocardial infarction
- Pump failure
- Mechanical complications
- Acute MR (papillary muscle rupture)
- VSD
- Free-wall rupture
RV infarction
Decreased forward flow
- Sepsis
- Rate-related
  - Bradycardia
  - Tachycardia
- Myocarditis
- Myocardial contusion
- Cardiomyopathy
Mechanical obstruction to forward flow
- AS
- HOCM
- Mitral stenosis
- Pericardial
LV regurgitation
- Chordal rupture
- Aortic insufficiency

- - Titrate to CO (e.g. warm extremities)
  - Dobutamine or Milrinone - if
    - Use milrinone if pt is on BB
  - CaCl 1gm
    - Give if pt is hypocalcemic

Pressor	Initial Dose	Max Dose	Cardiac Effect	BP Effect	Header text	Header text
Example	Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example	Example
Example	Example	Example	Example	Example	Example	Example

Tintinalli

EMCrit Podcast 10

Authors:

@@ Line 56: / Line 56: @@
 ***Decreases O2 demand BUT may worsen preload
 *Coronary perfusion
-**1. Small Fluid challenge
+#Small Fluid challenge
-**2. Increase inotropy
+#Increase inotropy
 ***Titrate to CO (e.g. warm extremities)
 ***Dobutamine or Milrinone - if
@@ Line 63: / Line 63: @@
 ***CaCl 1gm
 ****Give if pt is hypocalcemic
-**3. Achieve MAP >65
+#Achieve MAP >65
-***Pressors
+==Pressors==
+{| class="wikitable"
+|-
+! Pressor !! Initial Dose !! Max Dose !! Cardiac Effect !! BP Effect !! Header text !! Header text
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|-
+| Example || Example || Example || Example || Example || Example || Example
+|}