체험은 만족하셨나요?
방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →In distributive shock, persistent hypotension with a MAP below 65 mmHg despite initial fluid resuscitation indicates a need for immediate vasopressor support. The priority is to restore vascular tone and organ perfusion pressure.
First-line therapy is typically norepinephrine. Titrate the infusion to achieve a target MAP of at least 65 mmHg. Monitor for endpoints such as improved urine output and decreased lactate, not just blood pressure normalization.
Do not delay vasopressor initiation to administer antibiotics or wait for additional fluid boluses in a patient with clear fluid-refractory shock. Concurrently, ensure antibiotics are given within the first hour, but hemodynamic stabilization is the immediate life-saving intervention.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.