美国重症医学(fccm)的基础教程 休克的诊断跟治疗资料.pptVIP

Diagnosis and Management of Shock Objectives Identify the major types of shock and principles of management Review fluid resuscitation and use of vasopressor and inotropic agents Understand concepts of O2 supply and demand Discuss the differential diagnosis of oliguria Shock Always a symptom of primary cause Inadequate blood flow to meet tissue oxygen demand May be associated with hypotension Associated with signs of hypoperfusion: mental status change, oliguria, acidosis Shock Categories Cardiogenic Hypovolemic Distributive Obstructive Cardiogenic Shock Decreased contractility