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Shock (septic, cardiogenic, acute hypotension) — ICU
Shock (septic, cardiogenic, acute hypotension) — ICU · ICD-10: R57.9, R65.21
Symptoms
- • Low blood pressure, especially on standing
- • Rapid heart rate and weak pulse
- • Confusion, restlessness or reduced alertness
- • Little or no urine
- • Fast breathing and shortness of breath
- • Cool, pale or blotchy skin (cardiogenic) or warm, flushed skin (septic)
- • High or very low temperature and chills (septic)
- • Chest pain (cardiogenic)
Drugs and regimens
Dobutamine⚠ Unverified
Increase cardiac output — adult: usually 2.5–15 mcg/kg/min
Dopamine⚠ Unverified
Start — patients likely to respond to modest increments: 2–5 mcg/kg/min
Dopamine⚠ Unverified
Seriously ill — start 5 mcg/kg/min, increase by 5–10 up to 20–50
Norepinephrine⚠ Unverified
Acute hypotension — adult: start 8–12 mcg/min
Norepinephrine⚠ Unverified
Maintenance — adult: usually 2–4 mcg/min
Vasopressin⚠ Unverified
Septic shock — 0.01–0.07 units/min
Vasopressin⚠ Unverified
Post-cardiotomy shock — 0.03–0.1 units/min