Chapter 7 Diagnosis / Management of Shock

Question 1

4 Classes of Shock

Answer 1

Hypovolemic
Cardiogenic
Distributive
Obstructive

Question 2

Goal Urine Output in management of shock

Answer 2

0.5-1mL/kg/hr

Question 3

What is a potential compication of Normal saline administration

Answer 3

hyperchloremia and metabolic acidosis that can occur with infusion of large volumes

Question 4

Dosing for Fluid Bolus in Shock

Answer 4

30mL/kg

Question 5

MOA and Dosing

Dopamine

Answer 5

1-20 mcg/kg/min

Dopamine Receptor at Low Doses
Beta 1 agonist at Medium (6-10)
Alpha 1 Agonist at High Dose (>10)

Question 6

MOA and Dosing

Phenylephrine

Answer 6

1-300 mcg/min
Strong Alpha 1 Agonist

Question 7

MOA and Dosing

Norepinephrine

Answer 7

0.01–0.5 μg/kg/min
(2–30 μg/min)

Strong Alpha 1 Agonist
Weak Beta 1 agonist

Question 8

MOA and Dosing

Epinephrine

Answer 8

0.01-0.5 µg/kg/min
(2–50 μg/min)1-300 mcg/min

Strong Beta 1 Agonist
Moderate Beta 2 Agonist
Strong Alpha 1 Agonist

Question 9

MOA and Dosing

Dobutamine

Answer 9

(1-20 µg/kg/min)
Moderate Beta 1 Agonist
Weak Beta 2 Agonist

Question 10

MOA and Dosing

Milrinone

Answer 10

(0.125-0.5 µg/kg/min)

Moderate Beta 1 Agonist
Moderate Beta 2 Agonist

Question 11

MOA and Dosing

Vasopressin

Answer 11

(0.01-0.04 units/min)

V1 receptors on Vascular Smooth Muscle (Vasoconstrictor)

Question 12

MOA and Dosing

Angiotensin II

Answer 12

(1.25-40 ng/kg/min)

Angiotensin II Agonist ( Aldosterone release and vasoconstriction)

Question 13

What sis the typical order of vasopressors in treating Septic Shock

Answer 13