Just take Home Details:
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Know medical (cold extremities, oliguria, confusion, dizziness, slender pulse pressure) and laboratory markers (metabolic acidosis, elevated creatinine, lactic acidosis) of hypoperfusion.
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An elevated lactate is a risk indication and necessitates rationalization.
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Norepinephrine is a fantastic first line vasopressor in Cardiogenic shock.
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Dobutamine is beneficial for inotropic help in Cardiogenic shock.
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Use POCUS in ED. In addition to echo and VTI for cardiac output, use IVC assessment for central venous tension/volume position.
REBEL Main Forged 115. – Cardiogenic Shock
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