Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: Atropine |Acute Anaphylaxis |Basic Life Support |Advanced Life Support |Adrenaline/Epinephrine |Acute Hypotension |Cardiogenic shock |Distributive Shock |Hypovolaemic or Haemorrhagic Shock |Obstructive Shock |Septic Shock and Sepsis |Shock (General Assessment) |Toxic Shock Syndrome |Non invasive ventilation (NIV) |Intubation and Mechanical Ventilation |Critical illness neuromuscular weakness |Multiple Organ Dysfunction Syndrome
In sepsis large volumes of fluid may be required to replace fluid lost into tissues and a clinically important anaemia may result from haemodilution and blood transfusion may be necessary.
Initial Management: O₂ target 94-98% unless scale 2 COPD. |
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A metabolic acidosis with base deficit >5 mmol/L often indicates increased lactic acid production in poorly perfused, hypoxic tissues. Serial lactate measurements may help in monitoring response to treatment
A qSOFA score of =2 is suggestive of sepsis and needs urgent review for escalation