脓毒性休克合理液体复苏
2022-01-16 22:09:46 1 举报
脓毒性
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大纲/内容
no
yes
Resolution of poorperfusion orhypotension?
Consider prompt ICUtransfer and initiationof vasopressors
Assess fluid responsiveness(e.g. increase in CO or SV with rapid bolus or PLR)IVC exam not recommended
Consider 1-2 additional 500ml boluses targeted to CRT
Exit algorithm
Fluid Responsive?
No or unable to determine
Consider 1-2 additional 500ml boluses targeted to CRTand/or urine output*
Strong history ofhypovolemia?
Administer 30 ml/kgbalanced crystalloidunless overt symptomatichypervolemia
Initial resuscitation (e.g.30 ml/kg fluid) complete?
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