Cardio-Pharm Shock Flashcards
1
Q
First goal in treatment of shock is to….
A
optimize the fluid recirculation
isotonic crystalloid (Normal Saline, Lactated ringers)
septic shock- also broad spectrum ABX
2
Q
vasopressors in shock
A
goal is to importeer perfusion pressure in the large vessels
3
Q
dopamine
action
A
a, B, dopaminergic receptors
SOME:
cardiac stimulation
vasoconstriction
4
Q
norepinephrine
A
primary action on A1 or B1
Levophed
some cardiac stimulation
GOOD vasoconstriction
5
Q
epinephrine
A
a and B
VERY strong cardiac stimulation and vasoconstriction
6
Q
dobutamine
A
B1, some B2 and A 1 in large doses
LOTS cardiac stimulation
mild vasoconstriction
