Periodic Table 04 - Be More Curious

Dr.Vivek on Instagram: "Inotropes are used to support perfusion in shock — not to replace the actual treatment. So selection depends on the type of shock and hemodynamics. 1) Norepinephrine (Noradrenaline) Start when: Septic shock with low MAP < 65 after giving adequate fluids. • Preparation: 4 mg Norad in 50 mL NS → 80 mcg/mL • Dose: 0.05–0.1 mcg/kg/min, titrate to MAP ≥ 65 • Effect: Restores vascular tone. • Note: First-line in septic shock. Can start peripherally while securing central access

Kristine Tuttle on Instagram: "All about Digoxin💊⁠ ⁠ Digoxin = cardiac glycoside ⁠ ⁠ 🫀Treats HF⁠ 🫀Controls HR in A-Fib & A-Flutter⁠ ⁠ ⚙️ Positive inotrope ➡️ increases force of contraction⁠ ⚙️ Negative chronotrope ➡️ decreases HR⁠ ⁠ Digoxin Toxicity⁠ 🧠 Neuro symptoms: confusion, fatigue, dizziness⁠ 👀 Vision changes: “halos” around lights, blurry vision, color changes⁠ ⁠ Nursing Considerations⁠ ⭐️ Always check apical pulse for 1 min⁠ Hold if:⁠ HR < 60 bpm (adults)⁠ HR < 70 bpm (children)⁠ ⁠