Shock and Vasoactive Drugs 

1) Determine type and etiology of shock

 • Distributive: Sepsis, Anaphylaxis, Neurogenic

 • Cardiogenic: Acute MI, Acute Heart Failure, Valvular Disease, Mechanical Defect (papillary muscle rupture, VSD, etc.), Ventricular Arrhythmias / CHB

 • Hypovolemic: Bleeding, Extreme Dehydration, Severe Burns, Pancreatitis

 • Obstructive: Pericardial tamponade, Pulmonary embolism

2) Understand vasoactive drug pharmacology

 • Pure Vasoconstrictors: Vasopressin, Phenylephrine

 • Ino-Constrictors: Norepinephrine, Epinephrine, Dopamine

 • Ino-Dilators: Dobutamine, Isoproterenol, Milrinone

 • Pure Vasodilators: Nitroglycerin, Nitroprusside, Nesiritide

3) Treat shock & address underlying etiology



Dr. Hasan Kazmi @hasankazmi01



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