Shock
Inadequate blood flow
Hypotension need not be present
Homeostasis
MAP
MAP = CO x TPR
CO = HR x SV
SV = preload + afterload + contractility
Types of Shock
Immediate Resuscitation
Dopamine
Intrope
Vasopressor
Positive chronotrope
Concentration dependent
Dobutamine
Intrope
Vasodilator
Positive chronotrope
Norepinephrine
Vasopressor
Increase CO in hypotension
Increases coronary perfusion and cardiac function