Woff Shock drugs Flashcards
1
Q
What kind of IV fluids do you give for a hypotensive patient, NOT due to cardiogenic shock?
A
Crystalloid
2
Q
How do you treat anaphylactic shock?
A
- Epinephrine (IM)
- B1 to increase heart contractility
- alpha 1 and 2 to increase vascular tone
- B2 to bronchodilate
3
Q
What does Dopamine do for shock?
A
- precursor to NE at low doses it stimulates Beta receptors and high doses alpha
4
Q
What does NE do for shock?
A
- Stimulates vascualr alpha receptors and B1 receptors of heart and kidney
- NOT beta 2
5
Q
What does Epi do for shock?
A
- potent at B1 receptors, stimulates alpha also and B2 on vasculature
6
Q
what does dobutamine do?
A
- Stimulates B1 receptors of heart to increase contractility and rate also vasodilates periphery via B2
7
Q
What does phenylephrine do?
A
- stimulates alpha receptors
- Inicrese in BP can reflexively decrease HR and contractility due to withdrawal of sympathetic tone
8
Q
What does vasopressin do?
A
- vasoconstrictor that binds V1 in vessels
9
Q
Best drug to use in cardiogenic shock?
A
- NE
10
Q
What vasopressor drug for septic shock is first line?
A
NE
11
Q
What is necessary to survive critical illness?
A
Cortisol
12
Q
What is Colchicine MOA and use?
A
- acute and recurrent pericarditis
- Blocks microtubule formation and disrupts WBC migration
