Shock performed at peak of R wave. Hypovolemic shock is treated with fluids (saline) in minor cases, and blood transfusions in severe cases. Examples of inotropes include dobutamine, milrinone, and isoproterenol. Cardiogenic shock is characterized by a decrease in myocardial contractility, and presents a high mortality rate. The first indications for ICD placement were secondary prevention; later trials demonstrated a primary prevention benefit of ICD therapy in patients at risk of SCD. Emergency Drug Guidelines 2 Disclaimer goes here or elsewhere in the front of the booklet _____ These guidelines have been adapted for Kiribati from the second edition of the Fiji Emergency Drug guidelines, 2007 with the kind permission of the National Drug and Therapeutics Committee, Fiji.

The most common use of norepinephrine is probably septic shock, as it is now the first-line recommendation for treatment in the current Surviving Sepsis Campaign Guidelines. From November 2016 to April 2017, an anonymous web-based survey on the use of vasoactive drugs was … the development and cause of cardiogenic shock to prevent the associated high morbidity and mortality (4). iology of shock, use of vasoactive agents for hemodynamic support of patients with shock can be guided by an underlying approach in which clinicians define specific goals and end points, titrate thera-pies to those end points, and evaluate the results of their interven-tions on an ongoing basis. Cardiogenic shock is treated by identifying and treating the underlying cause. 14 Norepinephrine is commonly used in neurogenic shock, severe cardiogenic shock, and obstructive shock due to pulmonary embolism. Clinical evidence of organ hypoperfusion include:

INOTROPE LEARNING PACKAGE . Requires proper lead/pad placement to monitor ECG. 7 . Symposium on a Physiologic Approach to Critical Care Use of Vasoactive Drugs in the Treatment of Shock James L. Berk, M.D. Vasopressors are commonly applied to restore and maintain blood pressure in patients with sepsis. Dopamine has traditionally been the drug of choice, owing to its vasopressor and inotropic activity. SHOCKSHOCK SYNDROMESYNDROME • Shock is a condition in which the cardiovascular system fails to perfuse tissues adequately • An impaired cardiac pump, circulatory system, and/or volume can lead to compromised blood flow to tissues • Inadequate tissue perfusion can result in: – generalized cellular hypoxia (starvation) – widespread impairment of cellular metabolism – tissue damage organ failure – … MANAGEMENT OF SHOCK Definition of shock Shock is a state in which there is inadequate blood flow to the tissues to meet demand. Shock and hypotension often co-exist, BUT a normal blood pressure DOES NOT exclude the diagnosis of shock. the rationale regarding vasoactive drug therapy for cardiovascular support of shock within an emergency environment.

2014 . Shock Shock is a condition that develops from failure of the cardiovascular system to maintain adequate CO, which results in low blood flow and inadequate nutrient and O2 delivery to body tissues and organs. We aimed to evaluate the current practice and therapeutic goals regarding vasopressor use in septic shock as a basis for future studies and to provide some recommendations on their use. Section four looks at the pathophysiology of shock and sepsis (as the pharmacological actions of PALS Medications for Cardiac Arrest and Symptomatic Arrhythmias Used when patient has a pulse.