Hypotension

**Separate into Rate/rhythm, Volume/preload, Inotropy, SVR

1. HR
a. Bradycardia
b. Tachycardia/SVT/AFib/VT
2. Preload
a. Absolute
i. Bleeding
ii. Dehydration
b. Relative (enough blood, but it can’t get back to heart)
i. Thrombosis (PE)
ii. Tamponade
iii. (Tension) pneumothorax
iv. Aorto-caval compression (e.g. fetus , instrument, surgeon’s hand)
v. Auto-PEEP
3. Contractility
a. Muscle
i. Ischemia
ii. Cardiomyopathy
b. Mechanism
i. Valvular abnormality
1. Acute AI/MR, chronic AS, MS
ii. VSD
4. SVR
a. Volatile anesthetic, vasodilator
b. Anaphylaxis
c. Neurogenic shock
d. Severe hemodilution, anemia