Mike Natter

Heart Pump Sepsis

$148 $185
Dimensions listed are in inches.

We want to help you elevate your walls affordably, while focusing on the pieces you actually need - that's why our selection of curated framed prints are available to own at an accessible price point. Your walls are about to look so good - Heart Pump Sepsis will look stunning hanging in your .

 

we donate to JDRF with each purchase of Dr. Natter's work.
Available for world-wide shipping. Please allow up to two weeks to receive your treats.

How to hang:

Framed Prints 11x14 and 12x12 inches or smaller include a sawtooth hanger (you'll need a nail and hammer to install). Larger Framed Prints include mounted brackets and a hardware kit, so all you'll need is a hammer.

Care:

Scratch-resistant. Wipe clean with a damp cloth.

As seen in

Art in real life

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Pathophysiology of septic shock: Bacterial components (Endotoxin, peptidoglycan etc) cause an inflammatory reaction. Proinflammatory cytokines (TNFalpha, IL-1 etc) dump into the bloodstream in an effort to fight off those invaders. A massive inflammatory state ensues, not the least of which creates a “leakiness” of blood vessels ( in part due to nitric oxide release), making it difficult to maintain a proper pressure. With a low intravascular volume, the heart tries to compensate by pumping faster. If the septic (distributive) shock is significant, the heart rate wont create enough pressure in the vessels to perfuse the end organs and tissues. When tissue ischemia sets in, the dying cells release lactate (since they do not have oxygen and shunt over to alternative anaerobic respiration). Rising levels of lactate act as a surrogate marker of tissue damage and drop the pH of the blood down to dangerously acidic levels. To treat: dump in fluids, pan culture, start broad spectrum abx early, trend lactates, hemodynamic monitoring. If things go south, start pressors. #sepsis #survivingsepsis #septicshock

A post shared by Mike Natter, MD (@mike.natter) on

Due to COVID-19 and order volume, please allow 7-10 days for your items to ship and 2 weeks to receive your order after your purchase date. This excludes any items marked as pre-order - those lead times will be noted on their individual product descriptions. 

November 24 - 29 2020:

20% off site-wide

Get one, give one: with orders $250 and up, you’ll be offered a free $25 electronic gift card at checkout to give to whomever you’d like.

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Automatic, site-wide discounts cannot be combined with any other discounts or offers.

* Unfortunately we are unable to apply retroactive discounts regardless of when orders were placed, whether orders have shipped out or not. This is our policy and we can’t make exceptions! Thank you for understanding! *

 

 

 

 

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