Shock
Hypovolumic shock
Cardiogenic shock
Distributive shock (maldistribution of
blood flow)
Obstructive shock (extracardiac
obstruction to blood flow)
Shock treatment
Airway Control
– Endotracheal Intubation
Circulatory Stabilization
– Adequate intravenous access :
large-bore peripheral line
– Fluid resuscitation : Isotonic
crystalloid
– Vasopressor : when the
response to fluid resuscitation is not adequate or when fluid
infusion is contraindicated
Vasopressors
Dopamine
Dobutamine
Norepinephrine
Epinephrine
Treatment failure
Is the patient appropriately
monitored?
Is the patient adequately
volume resuscitated?
Is the IV connected
appropriately?
Are the vasopressors mixed
adequately?
Is there an occult penetrating
injury/ hidden bleeding?
Does the patient have
pneumothorax?
Does the patient have adrenal
insufficiency?
Is the patient allergic to
medication?
Is there cardiac temponade?
(esp. in renal failure or cancer patients)
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