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