Cardiovascular Pharmacology Management PDF
Document Details

Uploaded by CleanlyBoston
Mansoura
Tags
Related
- Cardiovascular Pharmacology Lecture Notes PDF
- Cardiovascular Pharmacology PDF
- Cardiovascular Pharmacology Part II - PHA4107 - Feb 2024 - PDF
- NUR1125 - Pathophysiology, Pharmacology & Nursing Practice I - Cardiovascular Pharmacology Consolidation Session PDF
- Principles Of Cardiovascular Pharmacology PDF
- Cardiac Dysrhythmias and Shock Drug Therapy PDF
Summary
This document provides information on management of shock, including hospitalization, high-flow oxygen, furosemide, and morphine. It also covers neurogenic and cardiogenic shock, and septic shock.
Full Transcript
Manag gement  Hosspitalization and sitting or sem mi-sitting po osition.  High-flow oxyygen (hypo oxia causess pulmona...
Manag gement  Hosspitalization and sitting or sem mi-sitting po osition.  High-flow oxyygen (hypo oxia causess pulmona ary VC and incrreased card diac load).  Furrosemide (20-80 ( mg IV): to ↓ ve enous returrn and pulm monary con ngestion. It is the mosst importantt trea atment.  Morphine (2-4 mg IV): – T To ↓ stresss and anxieety. – V Venodilatattion → ↓ VR R → ↓ lung co ongestion. – It ↓ pulmon ch reflex → ↓ tachypnea & work nary stretc o of breathin ng.  Nitrroglycerin ne (sublingual or i.v.).  Hem modynamic c support according to systolic c BP: – Maintain systolic s BP P >100 mmmHg. – If the SBP is 40% (> 2000 ml) Coma …….. death 183 Treatment  I.v. fluids (Ringer solution is more superior to normal saline for use in massive hemorrhage).  Blood transfusion  Dopamine: to ↑ COP. â–ˆ Cardiogenic shock Causes ï€ Acute MI ï€ Blunt cardiac trauma ï€ Myocardial depression due to any cause (drugs, infection, etc.). Treatment  All measures of treatment of acute MI (see before).  Dobutamine i.v.i. (usually at 5 - 20 μg/kg/min).  Lidocaine i.v. for control of ventricular arrhythmia. â–ˆ Septic shock Cause: severe infection → release of inflammatory cytokines from the inflammatory cells → venodilatation (↓ venous return) and progressive tissue hypoxia. Treatment  Antibiotics according to the type of pathogen.  Dopamine or dobutamine to ↑ COP.  Low dose steroids to minimize toxemia.  Oxygen if O2 saturation is