Shock resident survival guide: Difference between revisions
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::*Bleeding i.e [[hemorrhagic shock]] | ::*Bleeding i.e [[hemorrhagic shock]] | ||
::*Fluid loss (e.g. [[diarrhoea]], [[vomiting]], bowel obstruction, 'third' spacing) | ::*Fluid loss (e.g. [[diarrhoea]], [[vomiting]], bowel obstruction, 'third' spacing) | ||
:Redistributive [[hypovolemia]] | |||
: | |||
::*[[Anaphylaxis]] | ::*[[Anaphylaxis]] | ||
::*[[Neurogenic shock]] | ::*[[Neurogenic shock]] | ||
::*[[Septic shock]] | ::*[[Septic shock]] | ||
===Prognosis=== | ===Prognosis=== |
Revision as of 21:13, 3 December 2013
Sepsis Microchapters |
Diagnosis |
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Treatment |
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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
- Cardiogenic shock
- Pump problems (e.g. post-MI), cardiomyopathy
- Mechanical (e.g. cardiac tamponade, tension pneumothorax), aortic stenosis
- Electrical eg VT or AF or most fundamentally VF
- Hypovolemic shock
- True hypovolemia
- Bleeding i.e hemorrhagic shock
- Fluid loss (e.g. diarrhoea, vomiting, bowel obstruction, 'third' spacing)
- Redistributive hypovolemia
Prognosis
Management
Shock | |||||||||||||||||||||||||||||
ABCD Airway / O2 / 2 wide bore IV access / 12-lead ECG / focused H&P / CXR | |||||||||||||||||||||||||||||
Volume defect | Pump defect | Heart Rate disturbances | |||||||||||||||||||||||||||
Fluid/Blood products ± Vasopressors | Arrhythmia algorithm | ||||||||||||||||||||||||||||
SBP < 70 with cardiogenic shock | SBP 70-100 with cardiogenic shock | SBP 70-100 with no cardiogenic shock | |||||||||||||||||||||||||||
Norepinephrine 1-30 μg/min | Dopamine 2–20 μg/kg/min | Dobutamine 2–20 μg/kg/min | |||||||||||||||||||||||||||