Shock

Question 1

Hypotensive? What do we give?

Answer 1

Crystalloid (unless cardiogenic shock) ti 10-12cm H2O (normal <8)

Question 2

What is the immediate treatment for anaphylactic shock?

Answer 2

Epinephrine IM, Antihistamine, Inhaled albuterol

Question 3

What are the drugs for cardiogenic shock?

Answer 3

NE is superior because DA causes increased arrhythmia

Question 4

Do we give antibiotics during septic shock?

Answer 4

Yes , note that blood cultures are positive in only 50% of septic shock cases

Question 5

How do we treat septic shock?

Answer 5

NE is first line then add or substitute with EPI

• Vasopressin can be added to NE
• Dopamine substitutes for NE if bradycardia (firstline)
• Phenylephrine only if arrhythmia or high CO with low TPR
• Dobutamine is inotrope if needed

Question 6

What can improve shock reversal?

Answer 6

Low dose corticosteroids