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<center>'''Ventilate'''</center>
<center>'''Ventilate'''</center><br>
----
----
❑ Intubation with mechanical ventilation<br>
❑ Intubation with mechanical ventilation<br>
<center>'''Infuse'''</center>
<center>'''Infuse'''</center><br>
----
----
❑ Normal saline 500–1000 mL every 10–15 minutes (for septic and hypovolemic shock)<br>
❑ Normal saline 500–1000 mL every 10–15 minutes (for septic and hypovolemic shock)<br>
❑ Normal saline 100–200 mL boluses (for cardiogenic shock)<br>
❑ Normal saline 100–200 mL boluses (for cardiogenic shock)<br>
<center>'''Pump'''</center>
<center>'''Pump'''</center><br>
----
----
❑ Norepinephrine 0.1–2.0 μg/kg/min<br>}}
❑ Norepinephrine 0.1–2.0 μg/kg/min<br>}}
 
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Revision as of 00:36, 8 April 2014



 
 
 
 
 
 
 
 
 
 
 
 
Symptoms & Signs


❑ Altered mental status
❑ Clammy skin ± cyanosis
❑ Hypotension (MAP <70 mmHg)
❑ Oliguria (urine output <0.5 mL/kg/h)

❑ Tachycardia (heart rate >100 bpm)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Shock
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ventilate


❑ Intubation with mechanical ventilation

Infuse


❑ Normal saline 500–1000 mL every 10–15 minutes (for septic and hypovolemic shock)
❑ Normal saline 100–200 mL boluses (for cardiogenic shock)

Pump


❑ Norepinephrine 0.1–2.0 μg/kg/min
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


References