Sandbox/001: Difference between revisions
Gerald Chi (talk | contribs) m (→Management) |
Gerald Chi (talk | contribs) m (→Management) |
||
Line 74: | Line 74: | ||
❑ ± Morphine 2—4 mg boluses <BR> | ❑ ± Morphine 2—4 mg boluses <BR> | ||
❑ 0.5—1 L every 10—15 minutes<sup>†</sup> <BR> | ❑ 0.5—1 L every 10—15 minutes<sup>†</sup> <BR> | ||
'''Labs & Imaging''' <BR> | |||
---- | |||
❑ CBC/DC/SMA-7/PT/PTT <BR> | |||
❑ Arterial blood gas <BR> | |||
❑ Lactate <BR> | |||
❑ ECG <BR> | |||
❑ CXR <BR> | |||
❑ Echocardiography <BR> | |||
❑ CXR <BR> | |||
❑ Artery pressure catheter <BR> | |||
❑ Central venous catheter <BR> | |||
❑ Pulmonary artery catheter <BR> | |||
'''Immediate Goals''' <BR> | '''Immediate Goals''' <BR> | ||
---- | ---- |
Revision as of 01:07, 5 March 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Circulatory shock
Definition
Shock is the clinical expression of circulatory failure that results in inadequate cellular oxygen utilization.[1]
Causes
Shock is a life-threatening condition and must be treated as such irrespective of the causes.
Classification
Type of Shock | CO | SVR | PCWP | CVP | SVO2 | |
Cardiogenic | Acute Ventricular Septal Defect | ↓↓ | ↑ | N — ↑ | ↑↑ | ↑ — ↑↑ |
Acute Mitral Regurgitation | ↓↓ | ↑ | ↑↑ | ↑ — ↑↑ | ↓ | |
Myocardial Infarction | ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | |
Obstructive | Pulmonary Embolism | ↓↓ | ↑ | N — ↓ | ↑↑ | ↓ |
Cardiac Tamponade | ↓ — ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | |
Distributive | Septic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ |
Anaphylactic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ | |
Hypovolemic | Volume Depletion | ↓↓ | ↑ | ↓↓ | ↓↓ | ↓ |
Management
Symptoms & Signs ❑ Altered mental status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Shock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Resuscitation ❑ Ventilatory support ❑ CBC/DC/SMA-7/PT/PTT ❑ MAP >60—65 mmHg | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Labs & Imaging ❑ CBC/DC/SMA-7/PT/PTT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
† 100—200 mL boluses for cardiogenic shock
References
- ↑ Vincent, JL.; De Backer, D. (2013). "Circulatory shock". N Engl J Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518. Unknown parameter
|month=
ignored (help) - ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicin. Baltimore: William Wilkins. ISBN 0-683-06754-0.
- ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.