Internal Medicine

Shock

Questions discussed in this category

What are first-line choices for vasopressors/inotropes to use in hypotensive patients with Eisenmenger Syndrome?

1 Answer available

Do you use absolute random cortisol levels or delta cortisol levels after ACTH stimulation to diagnose adrenal insufficiency in the critically ill?

2 Answers available

Do you add fludrocortisone to hydrocortisone when starting stress dose steroids in a patient with septic shock?

Though there is data to support using both hydrocortisone and fludrocortisone, it seems to be used rarely in clinical practice. A review publishe...

1 Answer available

Do you routinely use vasopressin in the management of RV failure leading to shock state in the absence of an obvious treatable cause such as infarction or PE?

2 Answers available

What is your threshold to start stress dose steroids in the management of patients with septic shock?

Do you do start therapy at a certain vasopressor requirement?

2 Answers available

What steroid regimen do you use in patients with both septic shock and ARDS?

Do you use hydrocortisone 200 mg/day as studied in ADRENAL/APROCCHSS or dexamethasone 20 mg/day as studied in DEXA-ARDS?

2 Answers available

Papers discussed in this category

The Journal of clinical endocrinology and metabolism, 2022 Jun 16

Critical Illness-induced Corticosteroid Insufficiency: What It Is Not and What It Could Be.

JAMA internal medicine, 2023 May 01

Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock.

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