Please enable JavaScript.
Coggle requires JavaScript to display documents.
severe sepsis (2 vasopressor (noradrenaline (adrenaline), (low risk of…
severe sepsis
2 vasopressor
noradrenaline (adrenaline)
(low risk of arrythmia) dopamine
(hypoperfusion despite adequate fluid resuscitation and BP) dobutamine
target
urine output 0.5 mL/kg
adequate fluid resuscitation
CVP (increase 3-5 mmHg)
passive leg raising (<10% increase in pulse pressure)
MAP 65 mmHg
1 fluid
1000 mL crystalloid e.g. normal saline (rapidly)
repeat if needed
3 call ICU
antibiotics (in 1 hour)
input, output are irrelevant (first 24 hours)
fluid challenge
early aggreesive resuscitation
early treatment of infection