Shock -Fenati

Question 1

What 3 things should you keep in mind when it comes to the treatment of shock?

Answer 1

Pressors, procedures and blood volume (blood products and crystalloid)

Question 2

Which type of shock will show an early drop in BP?

Answer 2

Distributive

Question 3

What is the SIRS criteria?

Answer 3

2 of 4:

• Temp higher than 38°C (100.0°F) or lower than 36°C (96.8°F)
• HR more than 90 beats per minute
• RR more than 20 breaths per minute or a PaCO2 less than 32mm Hg
• WBC count of more than 12,000/µL, less than 4,000/µL, or more than 10% Bands

(TTTW==> temp, tachycardia and tachypnea, WBC)

Question 4

What is the order of events for treatment for septic shock?

Answer 4

1. Cultures, Antibiotics, Fluids
2. 1st line pressor (norepinephrine)
3. 2nd line pressors and adjunct therapies

Question 5

If you are having a hard time getting cultures in a septic shock pt, should you delay the antibiotics?

Answer 5

NO!!!

Question 6

What are your treatments for initial low BP in septic shock?

Answer 6

Fluid after antibiotics and start with norepinephrine