Critical Care Time REBOOTED - 7. Vasopressors - Part 2
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Oct 21, 2024 Explore advanced strategies for managing vasopressors in critically ill patients, including titration techniques and effective weaning methods. The humor shines through as personal stories of pickleball transform into car troubles. Delve into the complexities of septic shock and the role of angiotensin II, while also understanding the importance of continuous monitoring. Discover the challenges in weaning patients off vasopressors and the significance of patient mobilization. A blend of critical insights and light-hearted anecdotes make for an engaging listen!
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Ms. G's Deterioration
- Ms. G's blood pressure dropped despite being on norepinephrine and vasopressin.
- She became less responsive and her urine output decreased, indicating worsening condition.
Managing Worsening Septic Shock
- Add a second vasopressor when a patient's condition worsens despite initial treatment.
- Check for volume responsiveness, even if the patient wasn't responsive before.
Adding Vasopressin
- Use vasopressin as a second vasopressor in patients with septic shock who have central access.
- Add vasopressin at low to medium norepinephrine doses for potential synergistic benefits.