The Different Types of Shock

In nearly all types of shock, we begin with IV boluses of crystalloid fluids such as normal saline or ringer's lactate. A usual dose is a 500-mil bolus, which can be repeated several times. This should be given quickly over 10 to 15 minutes. Next you want to start volume resuscitation. If the patient is refractory to fluid and there is no improvement in their blood pressure or urine output, you should then follow with the initiation of vasopressorsSuch as norepinephrine to target a mean arterial pressure above 65 millimeters of mercury. In anaphylactic shock, you should administer epinephrine 0.3 milligrams