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{{Family tree/start}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | A01 | | | | | | | | | | | | | |A01=
<div style="text-align: left; height: 150px; width: 200px; padding: 5px;">
'''Symptoms & Signs''' <BR>
----
❑ Altered mental status <BR>
❑ Cyanosis <BR>
❑ Hypotension (MAP <60 mmHg)<BR>
❑ Oliguria (<0.5 mL/kg/h) <BR>
❑ Tachycardia <BR>
❑ Tachypnea
</div>}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | B01 | | | | | | | | | | | | | |B01=
<div style="text-align: center; height: 25px; width: 200px;">
'''Shock'''
</div>}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | C01 | | | | | | | | | | | | | |C01=
<div style="text-align: left; height: 520px; width: 200px; padding: 5px;">
'''Resuscitation''' <BR>
----
❑ 0.5—1 L every 10—15 minutes<sup>†</sup> <BR>
❑ ± Morphine 2—4 mg boluses <BR>
❑ Ventilatory support <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>
❑ Central venous catheter <BR>
❑ Pulmonary artery catheter <BR>
'''Immediate Goals''' <BR>
----
❑ MAP >60—65 mmHg <BR>
❑ CVP 8—12 mmHg <BR>
❑ PCWP 12—15 mmHg <BR>
❑ CI >2.1 L/min/m<sup>2</sup> <BR>
❑ Hemoglobin >7—9 g/dL <BR>
❑ SaO2 >90%—92% <BR>
❑ MVO2 >60% <BR>
❑ SCVO2 >70% <BR>
❑ Lactate <2.2 mM/L <BR>
❑ Urine output >0.5 mL/kg/h
</div>}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | |!| | | | | | | | | | | | | | |}}
{{Family tree|border=0|boxstyle=background: #FF0000; color: #F8F8FF;| | | | | | | | | | | | | D01 | | | | | | | | | | | | | |D01=
<div style="text-align: left; height: 130px; width: 200px;">
</div>}}
{{Family tree/end}}
<sup>†</sup> 100—200 mL boluses for cardiogenic shock

Revision as of 20:47, 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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