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Initial Evaluation and Management of Septic Shock - Algorithm

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Septic #Shock #Sepsis #management
Initial Evaluation ... and Management ... of Septic Shock ... #Shock #Sepsis ... #Algorithm
A good approach when dealing with hypotension at the bedside includes using the following systematic four
when dealing with hypotension ... systematic four step evaluation ... Cardiac Performance ... Resistance #Diagnosis #Management ... #Algorithm
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Septic shock ... with Shock: Sepsis ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... #Septic #Shock
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
• Organ dysfunction ... Septic Shock • ... failure o Hypotension ... >2 mmol/L Management ... #sirs #shock #lactate
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
and Management ... Life-threatening organ dysfunction ... SHOCK is a subset ... shock are identified ... Persistent hypotension
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
(hypotension persisting ... shock (sepsis with ... end organ dysfunction ... Discuss ongoing management ... Checklist #Diagnosis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
the setting of hypotension ... death -> end-organ dysfunction ... status • CV: hypotension ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - ... 20 mg q6hr) - Hypotension ... severe or w/ organ dysfunction ... pulmonary edema in hypotensive
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
the setting of hypotension ... death -> end-organ dysfunction ... status • CV: hypotension ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... or LV dysfunction ... medical and surgical management