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12 Cards in this Set

  • Front
  • Back
Goals for hypovolemic shock
PCWP: 10 -12
CVP: 15
CI: >3
Hemodynamic criteria for Cardiogenic shock
SBP < 90 for at least 30 min
CI < 2.2
PCWP >15
Goals for cardiogenic shock
CI > 2.5
PCWP <18
MAP >65
Urine out >0.5 ml/kg/hr
SIRS definition (2 or more)
Temp >38.3 or <36
HR>90
RR>20 or PaCO2 <32
WBC >12,000 or < 4,000 or >10% bands
cardiovascular organ dysfunction
SBP <90
MAP< 70
Renal organ dysfunction
< 0.5 ml/kg/hr output
pulmonary organ dysfunction
PaO2/FiO2 <250
require intubation
hematological organ dysfunction
Plt < 80,000 or 50% decrease w/n 3 days
Neurological organ dysfunction
GCS< 10
Electrolyte organ dysfunction
pH <7.3 or serum lactate >4
Goals of septic shock
CVP 8 - 12
MAP > 65
urine output >0.5
ScvO2 >70 %
When to give dobutamine in septic shock
CI < 3.5 w/ fluids
ScvO2 <70% w/ transfusion
both for 6 hours