Vasopressor resident survival guide: Difference between revisions
Jump to navigation
Jump to search
Ahmed Zaghw (talk | contribs) |
Ahmed Zaghw (talk | contribs) |
||
| Line 29: | Line 29: | ||
{{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | |E01= '''Dose''' |E02= 1-30 mcg/kg/min |E03= 1-20 mcg/min |E04= 0.03 unit/min |E05= 20-300 mcg/kg/min |E06= 2.5-20 mcg/kg/min }} | {{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | |E01= '''Dose''' |E02= 1-30 mcg/kg/min |E03= 1-20 mcg/min |E04= 0.03 unit/min |E05= 20-300 mcg/kg/min |E06= 2.5-20 mcg/kg/min }} | ||
{{Family tree | | | | | |!| | | |!| | | |!| | | |!| | | |!| | |}} | {{Family tree | | | | | |!| | | |!| | | |!| | | |!| | | |!| | |}} | ||
{{Family tree | F01 | | F02 | | F03 | | F04 | | F05 | | F06 | |F01= '''Complications''' |F02= Less tachyarrhythmia (less β1) than Dopamine |F03= Arrhythmia (more β1) |F04= *Coronary spasm<br>*Splanchnic vasoconstriction|F05= Reflex bradycardia <br> No worsening of Tachycardia (only α1) |F06= Hypotension (β2) }} | {{Family tree | F01 | | F02 | | F03 | | F04 | | F05 | | F06 | |F01= '''Complications''' |F02= Less tachyarrhythmia (less β1) than Dopamine |F03= Arrhythmia (more β1) |F04= *Coronary spasm<br>*Splanchnic vasoconstriction|F05= Reflex bradycardia <br> No worsening of Tachycardia <br>(only α1) |F06= Hypotension (β2) }} | ||
{{Family tree | | | | | |!| | | |!| | | |!| | | |!| | | |!| | |}} | {{Family tree | | | | | |!| | | |!| | | |!| | | |!| | | |!| | |}} | ||
{{Family tree | G01 | | G02 | | G03 | | G04 | | G05 | | G06 | |G01= '''Cautions''' |G02= Arrhythmia |G03= *Not in cardiogenic shock <br>*Arrhythmia <br> *cardiotoxicity with ischemia |G04= *Ischemic heart <br>(Troponin > 10) <br> *Gut ischemia |G05= |G06= If hypotension, add α1 agonist }} | {{Family tree | G01 | | G02 | | G03 | | G04 | | G05 | | G06 | |G01= '''Cautions''' |G02= Arrhythmia |G03= *Not in cardiogenic shock <br>*Arrhythmia <br> *cardiotoxicity with ischemia |G04= *Ischemic heart <br>if (Troponin > 10) <br> *Gut ischemia |G05= |G06= If hypotension, add α1 agonist }} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 21:53, 5 December 2013
|
Sepsis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Vasopressor resident survival guide On the Web |
|
American Roentgen Ray Society Images of Vasopressor resident survival guide |
|
Risk calculators and risk factors for Vasopressor resident survival guide |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]
Definition
Causes
Life Threatening Causes
Common Causes
Prognosis
Management
| Vasopressors | |||||||||||||||||||||||||||||||||||||||||||||||||
| Norepinephrine | Dopamine | Vasopressin | Phenylephrine | Dobutamine | |||||||||||||||||||||||||||||||||||||||||||||
| Mechanism | *Mainly α1 (Vasoconstrictive) *β1 (↑contractility) | *Mainly β1 (↑contractility) *α1(Vasoconstrictive) | *V1 receptor of GIT vasculatures *Antidiuretic effects | *Pure α1(Vasoconstrictive) *No β1 | *Mainly β1 (↑contractility) *β2 arterial smooth muscle (Hypotensive) | ||||||||||||||||||||||||||||||||||||||||||||
| Indication | *1st line Septic shock *1st line Cardiogenic shock *Undifferentiated shock | 2nd line septic shock | 2nd line septic shock | 1st line Neurogenic shock 3rd-4th line septic shock | *1st line cardiogenic shock * low output septic shock | ||||||||||||||||||||||||||||||||||||||||||||
| Dose | 1-30 mcg/kg/min | 1-20 mcg/min | 0.03 unit/min | 20-300 mcg/kg/min | 2.5-20 mcg/kg/min | ||||||||||||||||||||||||||||||||||||||||||||
| Complications | Less tachyarrhythmia (less β1) than Dopamine | Arrhythmia (more β1) | *Coronary spasm *Splanchnic vasoconstriction | Reflex bradycardia No worsening of Tachycardia (only α1) | Hypotension (β2) | ||||||||||||||||||||||||||||||||||||||||||||
| Cautions | Arrhythmia | *Not in cardiogenic shock *Arrhythmia *cardiotoxicity with ischemia | *Ischemic heart if (Troponin > 10) *Gut ischemia | If hypotension, add α1 agonist | |||||||||||||||||||||||||||||||||||||||||||||
Do's
- Assess the cause of shock
- Always volume fluid resuscitation first
- Norepinephrine in undifferentiated shock.