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<center>'''Shock'''</center>}}
<center>'''Shock'''</center>}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left;                            | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left;                            | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left; height: 200px;               | | | | | | | | | | | | | B03 | | | | | | | | | | | | | |B03=
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 20px; padding: 5px; text-align: left; height: 180px;             | | | | | | | | | | | | | B03 | | | | | | | | | | | | | |B03=
<center>'''Ventilate'''</center><br>
<center>'''Ventilate'''</center>
----
----
❑ Intubation with mechanical ventilation<br>
❑ Intubation with mechanical ventilation<br>
<center>'''Infuse'''</center><br>
<center>'''Infuse'''</center>
----
----
❑ 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><br>
<center>'''Pump'''</center>
----
----
❑ Norepinephrine 0.1–2.0 μg/kg/min}}
❑ Norepinephrine 0.1–2.0 μg/kg/min}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left;                            | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left;                            | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 10px; padding: 5px; text-align: left; height: 20px;               | | | | | | | | | | | | | B04 | | | | | | | | | | | | | |B04=}}
{{Family tree|border=2|boxstyle=background: #FA8072; color: #F8F8FF; line-height: 20px; padding: 5px; text-align: left; height: 180px;             | | | | | | | | | | | | | B04 | | | | | | | | | | | | | |B04=
 
<center>'''Immediate Goals'''</center>
----
❑ MAP >60–65 mmHg<br>
❑ CVP 8–12 mmHg<br>
❑ PCWP 12–15 mmHg<br>
❑ CI >2.1 L/min/m<sup>2</sup><br>
❑ Hemoglobin >7–9 g/dL<br>
❑ SaO2 >90%–92%<br>
❑ MVO2 >60%<br>
❑ SCVO2 >70%<br>
❑ Lactate <2.2 mM/L<br>
❑ Urine output >0.5 mL/kg/h
}}




Revision as of 00:41, 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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Immediate Goals

❑ MAP >60–65 mmHg
❑ CVP 8–12 mmHg
❑ PCWP 12–15 mmHg
❑ CI >2.1 L/min/m2
❑ Hemoglobin >7–9 g/dL
❑ SaO2 >90%–92%
❑ MVO2 >60%
❑ SCVO2 >70%
❑ Lactate <2.2 mM/L

❑ Urine output >0.5 mL/kg/h
 
 
 
 
 
 
 
 
 
 
 
 
 


References


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