Shock

5/13/2004


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Table of Contents

Shock

Determinants of Shock

Hemodynamic States of Shock

Pathophysiology of Shock

Clinically

Mediators of Shock

Main Classes of Shock

Hypovolemic Shock

Obstructive Shock

Distributive Shock

Systemic inflammatory response syndome (SIRS)

Sepsis Continued

A sepsis-induced organ failure is indicated by one of the following criteria:

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Addition of Thermodilution Cardiac Output

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Pulmonary Artery Catheter Waveforms

PA Cath Measured Parameters

Calculated Parameters

Calculating Ventricular Volume

Hemodynamic Characteristics in Different Types of Shock

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Example

An Alternative to the Pulmonary Artery Catheter Type Natriuretic Peptide

B Type Natriuretic Peptide

Management of Shock

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Inotropic Agents

Effects of Inotropic Agents and Vasodilators

Effects of Inotropic Agents and Vasodilators

Dopamine An endogenous precursor of norepinephrine with multiple dose-related effects

Xigris for Sepsis

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New Therapies for Septic Shock

Monitoring of Resusitation in Sepsis.

Standard Care

Treatment group

Results

Treatment Differences in First 6hrs

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