Cardio: Drugs used for Shock

Question 1

How do you treat hypotensive shock?

Answer 1

IV fluids

-want JVP between 10-12

Question 2

How do you treat anaphylactic shock?

Answer 2

Epinephrine (IM): a1=a2, B1=B2

• B1=increase contractility
• a1, a2=increase vascular tone
• B2=bronchodilate

Question 3

What are the vasopressors used for shock?

Answer 3

1. Dopamine (low B, high a)
2. NorE (a and B1)
3. Epi
4. Dobutamine (do B1)
5. Phenylephrine (a1)
6. Vasopressin
   - potent vasoconstrictor

Question 4

How do you treat cardiogenic shock?

Answer 4

1. NorE (superior)

2. Dopamine

Question 5

When is dobutamine used in cardiogenic shock?

Answer 5

Used in refractory shock or systolic HF w Low CO

Question 6

Should you give Abs in Septic shock?

Answer 6

Yes, evidence based medicine supports

Question 7

What vasopressors are used in septic shock?

Answer 7

1. NorE-first line
2. Epi
3. Vasopressin, Dopamine, Phenylephrine, dobutamine

Question 8

Should steroids be used in sepsis?

Answer 8

Yes, low dose corticosteroids use improves shock reversal