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Gerald Chi (talk | contribs)
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Gerald Chi (talk | contribs)
CMEAdmin, Bureaucrats, bureaucrats, editnews, exportpages, interwiki, nocaptcha, nukepages, smwadministrator, Administrators, Widget editors
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mNo edit summary
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Revision as of 21:05, 29 March 2014





 
 
 
 
 
 
 
 
 
 
 
 

Symptoms & Signs

❑ Altered mental status
❑ Cyanosis
❑ Hypotension (MAP <60 mmHg)
❑ Oliguria (<0.5 mL/kg/h)
❑ Tachycardia
❑ Tachypnea

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Shock

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Resuscitation

❑ 0.5—1 L every 10—15 minutes†
❑ ± Morphine 2—4 mg boluses
❑ Ventilatory support
Labs & Imaging

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

† 100—200 mL boluses for cardiogenic shock






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