how to diagnose shock in the ICU
- related: shock in icu
- tags: #literature #icu #cardiology
- can have shock without hypotension
- look for clinical and lab signs of tissue hypoperfusion instead
- brain: AMS
- kidney: oliguria
- skin: mottled
- lab: lactate1
- both tachycardia and bradycardia can point to shock
- elevated shock index can suggest shock
- severe bradycardia can result in decreased cardiac output
- oliguria: low urine output is less than 0.5 cc per kg
- mottling of skin suggests active vasoconstriction and could have benefit from inotrope not more vasoconstrictors