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March 2023 Literature Review Series

Pharmacy to Dose: The Critical Care Podcast

CHAPTER

How to Escalate Bazel Presser and Corticosteroid Therapy in Patients With Septic Shock

A paper published in CHESS titled How We Escalate Bazel Presser and Corticosteroid Therapy in Patients with Septic Shock. This is a case-based discussion written by three physicians that combines data and anecdotal experience to answer common clinical questions for patients with septic shock. The authors provide suggestions for the initiation of a second vasopressor based on the dose of norepinephrine and the patient's comorbidities. Last, they discuss vasopressor weaning strategies, including selecting which presser to stop first,. lowering the map goal to 60, and adding menagen.

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