In this session we will introduce the management of shock. There is a lot of material covered in the pre-class videos. I tried to differentiate between material that I expect you to know and things that were included as an FYI. As always, focus on the learning objectives while studying as this is where your exam questions will come from.
Learning Objectives
1. Identify signs, symptoms, and laboratory abnormalities that may be associated with hypovolemic shock
2. Given a patient scenario involving hypovolemic shock, select an appropriate fluid resuscitation strategy
3. Describe the major fluid compartments within the body in terms of fluid distribution
4. Given a specified volume of a crystalloid or colloid solution determine the approximate distribution within the different fluid compartments
5. Explain the problem with compounding albumin 5% from 25% by adding sterile water for injection
6. Discuss major differences between available crystalloid and colloid solution
7. Describe adverse effects associated with colloid solutions
8. Discuss why volume resuscitation should be optimized prior to starting a vasopressor in distributive shock
9. Compare and contrast the effects and uses of the following vasopressors - epinephrine, norepinephrine, vasopressin, dopamine