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  • EGDT

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    rudie27s
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    1. The document discusses treatment for a patient requiring supplemental oxygen, endotracheal intubation, and mechanical ventilation including central venous and arterial catheterization and sedation or paralysis. 2. It provides guidelines for fluid resuscitation based on central venous pressure and goals for mean arterial pressure and central venous oxygen saturation. 3. Vasoactive agents like dopamine may be used to treat low blood pressure or inotropic agents for low central venous oxygen saturation.

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    1. The document discusses treatment for a patient requiring supplemental oxygen, endotracheal intubation, and mechanical ventilation including central venous and arterial catheterization and sedation or paralysis. 2. It provides guidelines for fluid resuscitation based on central venous pressure and goals for mean arterial pressure and central venous oxygen saturation. 3. Vasoactive agents like dopamine may be used to treat low blood pressure or inotropic agents for low central venous oxygen saturation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    9 views2 pages

    EGDT

    Uploaded by

    rudie27s
    1. The document discusses treatment for a patient requiring supplemental oxygen, endotracheal intubation, and mechanical ventilation including central venous and arterial catheterization and sedation or paralysis. 2. It provides guidelines for fluid resuscitation based on central venous pressure and goals for mean arterial pressure and central venous oxygen saturation. 3. Vasoactive agents like dopamine may be used to treat low blood pressure or inotropic agents for low central venous oxygen saturation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    suplemental oxygen + ett & mechanical ventilation

    central venous & arterial catheterization

    sedation,paralysis,intubated,or both
    cystalloid
    CVP <8mmHg 8-12mmHg

    8-12mmHG colloid

    vasoactive agents <65 or >90mmHg MAP


    eg:dopamin 65<MAP<90mmHg

    SCVO2 <70% transfusion of red cell until HT >30%


    >70% >70%
    no goal achieve <70%

    yes inotropic agent


    hospital admission eg: vascon,dobutamin
    Target : volume, pressure, distribution
    65<normal MAP<90 mmHg
    Dopamin : 2cc/100cc RL ----> 5-10gtt/i
    low dose (2-5mcg/BW/i)
    Coagulopathy -------> from PLT
    SCVO2 80% -------> 80% of O2 exchange in peripher
    EGDT in < 6 hours in ED
    Dopamin:
    low dose (2-5mcg/BW/i) causing vasodilatation in renal and splanchnic vascular
    midrange dose (5-15 mcg/BW/i) act on beta adrenergic receptors to increase HR
    and contractility
    high dose (15-20 mcg/BW/i) act on alpha adrenergic receptors to increase systemic
    vascular resistance and raise BP
    maintanance dose : <20 mcg/BW/i
    Normal CVP : 8-12 mmH2O
    Treatment : diuresis -----> furosemide 80-200 mg i.v/two

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