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Septic Shock

Septic Shock

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Published by hollyu

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Published by: hollyu on Nov 19, 2009
Copyright:Attribution Non-commercial

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06/09/2013

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Septic shock:
A
LOC, full stomachB
resp failure, ARDS, pul edemaC
low or high output failure,
SVR,D
Abx, APC, steroids, inotrops, vasopressorsMet
lactic acidosis, base deficit,
K, lytes disturbance, adrenal insufficiencyRenal
ATN, ARFHeme
thrombocytopenia, DICManagement:
ABC
ECG, Sat, Art-line, CVP/PAC, frequent ABG,
Lab: CXR, ABG, ECG, CBC-D, Blood C/S, sputum, and urine, lytes, BUN,creat, LFT, PT, PTT, Fibrinogen, D-dimer, ACTH stim test, if suspecting asource of infection do further investigation e.g. TEE or TTE for ? edocarditis,abdominal
CT…..
Early goal directed therapy( CVP 8-12, MAP >65, Urine>0.5ml/kg/hr,SvO2>70%)
Broad spectrum ABx

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