there and the causes are going to help you
Approach. Shock needs to be treated rapidly.
You don’t have time to mess around because
you’re worried about end-organ dysfunction.
Goal directed therapy is often what? To intubate
early, to ensure adequate oxygenation. Often
times, you’ll have to do that because who’s
dying? The tissue, maybe the end-organ. You
keep your central venous pressure above 8
with IV fluids. So, that’s important. When
we talked about how your central venous pressure
could be decreased, especially in septic
or distributive type of shock, it’s important
that you keep the heart properly pumping.
Keep the mean arterial blood pressure at approximately
65 with the vasopressors such as, well, Alpha-1
agonists, right? Alpha-1 agonists, this once
again, more or less dealing with your septic.
Keep hematocrit approximately at 30 percent
with transfusion, if need be, especially with
your hypovolemic shock and use inotropic agents
if your heart is failing, if it’s dealing
with cardiogenic. So, if you’ve understood
that table well, you can go through the approach
to shock very quickly. You know exactly as
to what your objective is in different types
of shock on the previous table that you at
this point, should be
extremely comfortable with.