4345 EXAM 3 Notes- SHOCK

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o Collaborative Care  The prognosis for MODS is poor  Goal: Prevent the progression of SIRS to MODS  Vigilant assessment and ongoing monitoring to detect early signs of deterioration or or... gan dysfunction is critical  Prevention and treatment of infection  Aggressive infection control strategies to decrease the risk for nosocomial infections  Once an infection is suspected, institute interventions to control the source  Maintenance of tissue oxygenation Decrease O2 demand: Sedation, Mechanical ventilation, Paralysis, Analgesia  Optimize O2 delivery Maintain normal hemoglobin level Maintain normal PaO2: Individualize tidal volumes with PEEP  Maintenance of tissue oxygenation Enhance CO: Increase preload or myocardial contractility, Reduce afterload  Nutritional and metabolic needs The goal of nutritional support: Preserve organ function Total energy expenditure is often increased 1.5 to 2.0 times  Support of failing organs ARDS (acute respiratory distress syndrome): Aggressive O2 therapy and mechanical ventilation DIC (disseminated intravascular coagulation): Appropriate blood products Renal failure: Continuous renal replacement therapy or dialysis [Show More]

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