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Bureaucrats, bureaucrats, nocaptcha, Administrators
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GeraldChi (talk | contribs)
Bureaucrats, bureaucrats, nocaptcha, Administrators
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❑ Norepinephrine 0.1–2.0 μg/kg/min}}
❑ Norepinephrine 0.1–2.0 μg/kg/min}}
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<center>'''Workups'''</center>
<center>'''Workups'''</center>
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❑ CXR<br>  
❑ CXR<br>  
❑ Echocardiography<br>
❑ Echocardiography<br>
❑ CXR<br>
❑ Central venous catheter<br>
❑ Central venous catheter<br>
❑ Pulmonary artery catheter}}
❑ Pulmonary artery catheter}}
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'''Classify by medical history,<br>physical examination,<br>hemodynamic profiles,<br>± echocardiographic findings'''}}
'''Classify by medical history,<br>physical examination,<br>hemodynamic profiles,<br>± echocardiographic findings<br>and treat accodringly'''}}
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{{Family tree/end}}
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<sup>†</sup> For septic and hypovolemic shock; consider normal saline 100—200 mL boluses for cardiogenic shock.


 
==Classification==
{{Family tree/end}}
 




<sup>†</sup> For septic and hypovolemic shock; consider normal saline 100—200 mL boluses for cardiogenic shock.


==References==
==References==

Revision as of 01:30, 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
❑ SaO2 >90%–92%
❑ MVO2 >60%
❑ SCVO2 >70%
❑ Hemoglobin >7–9 g/dL
❑ Lactate <2.2 mM/L

❑ Urine output >0.5 mL/kg/h
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classify by medical history,
physical examination,
hemodynamic profiles,
± echocardiographic findings
and treat accodringly
 
 
 
 
 
 
 
 
 
 
 
 
 

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

Classification

References


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