Sandbox/00002: Difference between revisions

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Revision as of 01:32, 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—Infuse—Pump (VIP)

❑ Intubation with mechanical ventilation
❑ Normal saline 0.5–1 L q10–15 min^†

❑ Norepinephrine 0.1–2.0 μg/kg/min

Workups

❑ CBC/DC/SMA-7/PT/PTT
❑ Arterial blood gas
❑ Lactate
❑ ECG
❑ CXR
❑ Echocardiography
❑ Central venous catheter

❑ Pulmonary artery catheter

Immediate Goals

❑ MAP >65–70 mmHg
❑ CVP 8–12 mmHg
❑ PCWP 12–15 mmHg
❑ CI >2.1 L/min/m²
❑ Sa_O₂ >90%–92%
❑ M_VO₂ >60%
❑ S_CVO₂ >70%
❑ Hemoglobin >7–9 g/dL
❑ Lactate <2.2 mM/L

❑ Urine output >0.5 mL/kg/h

Classify and treat accodringly

^† For septic and hypovolemic shock; consider normal saline 100—200 mL boluses for cardiogenic shock.

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 ❑ Pulmonary artery catheter}}
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 <center>'''Immediate Goals'''</center>
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 ❑ Urine output >0.5 mL/kg/h}}
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 '''Classify and treat accodringly'''}}
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Sandbox/00002: Difference between revisions

Revision as of 01:32, 8 April 2014

Classification

References

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