BUMC Basics.pdf - Anesthesia Home

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mortality. It lowers mortality if added to moderate doses of
levophed.
Antibiotics — First dose stat in ER
Blood cultures — x2 drawn in ER prior to first dose
antibiotics
• Order labs and antibiotics based on suspected etiology
• Consider pharmacy evaluation for Xigris if >2 organ
system failure 2/2 sepsis or APACHE II score ≥25
Other factors in shock — If still refractory hypotenstion,
check Ca, TSH, possible hemorrhage into any organ, GIB,
TTE, acidosis. HCO3 drip if ph