Approach to the Hypotensive Patient
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Approach to the Hypotensive Patient
Blood Pressure = Heart Rate x Stroke Volume x Peripheral Vascular Resistance
 • BRADYCARDIA (inadeq. cardiac output): Sinus bradycardia, AV blocks, Sick sinus syndrome
 • TACHYCARDIA (inadeq. filling time): Sinus tachycardia, Atrial tachycardias, Ventricular arrhythmia
 • DECREASED PRELOAD: Volume depletion, Pulmonary embolism, Pericardial tamponade, Tension pneumothorax, Right ventricular dysfx, Vasodilatory meds, Adrenal insufficiency
 • CARDIAC CONTRACTILITY: Left ventricular dysfunction (Myocardial infarction, Free wall rupture, Myocarditis, Papillary muscle rupture), Acute mitral regurgitation, Aortic regurgitation, Aortic stenosis, Meds - negative inotropes
 • DECREASED AFTERLOAD: Sepsis, Anaphylaxis, Adrenal insufficiency, Vasodilatory meds, Neurogenic

#Hypotension #hypotensive #differential #diagnosis #causes
Contributed by

Dr. Ravi Singh K
@rav7ks
Academic Hospitalist and APD @SinaiBmoreIMRes, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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