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21 Cards in this Set
- Front
- Back
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Norepi AKA
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Levophed
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Levophed AKA
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Norepi
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Phenylephrine AKA
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Neosynephrine
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Neosynephrine AKA
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Phenylephrine
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Shock state characterized by volume deficiency
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Hypovolemic
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Shock state characterized by volume overlaod
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Cardiogenic
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Shock state cahracterized by massive vasodil
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Neurogenic
Septic |
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Shock state where hemodyn's are all decreased
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Neurogenic
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Shock state with increased CVP/PAWP and increased SVR
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Cardiogenic
HR??? CVP/PAWP=ineffective pump/vol overload SVR=not a vascul problem |
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Shock state with increased HR and SVR but all else decreased
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Hypovolemic
HR=trying to compensate SVR=Not a vascul problem CVP/PAWP=volume depleted |
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Shock state with incr HR but all else decreaded
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Anaphylactic
HR=??? SVR=vascul problem which lead to rest being dec (BP/MAP/CVP/PAWP) |
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Hypovol shock Tx
-fluids -inotropes -pressors -vasodil -other |
Fluids (NSS, colloids, blood)
No pressors (not a vasc problem. It'll just worsen organ vol depletion) |
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Cardiogenic shock Tx
-fluids -inotropes -pressors -vasodil -other |
No fluids (vol overload)
-If PAWP high(>18)=lasix, fl restrict -If PAWP low(<14)=gentle fluids Inotropes Vasodil IABP |
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Neurogenic shock Tx
-fluids -inotropes -pressors -vasodil -other |
Pressors=1st line
Fluids ay help a little but vascular tone is most impt May see atropine for bradycardia |
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Anaphylactic shock Tx
-fluids -inotropes -pressors -vasodil -other |
Epi (vasoconstr and bornichodil)
Benadryl Corticosteroids Albuterol (bronchodil) May see pressors |
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In cardiogenic shock what is PAWP goal
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14-18
Not flooding yet still attempting to salvage end organ perfusion |
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Diff between
-sepsis -sever sepsis -sepitic shock |
Sepsis=pathogen plus 2 of SIRS criteria
Severe sepsis=Above plus manifestations of organ dysfxn, hypoperfusion or hypotension. Essentially a progression. Septic shock=sepsis with hypotension despite adeq fluid resucitation along with organ failure |
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SvO2
-increased or decreased in septic shock? |
Increased
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Gram - org Tx'd with?
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3rd gen cephalo
i.e. rocephin/cefepime |
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Gram + org Tx'd with
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vanc
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First two organs to fail
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Lungs and kidneys
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