Small Animal Emergency and Critical Care Medicine: Self-Assessment Color Review, Second Edition, Q&A 03

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Student tip template.png Student tip: This case is an excellent overview of the pharmacological intervention required when BP drops.



You have provided analgesics and fluid resuscitation for hypovolemic shock for a dog with pyometra. Isotonic balanced crystalloids and HES were infused using large volume resuscitation techniques to high end end-points. Post-infusion parameters are: CVP = 10 cmH2O; HR = 150 bpm; CRT = 2 sec; MM pale pink; weak femoral pulses; Doppler SABP = 78 mmHg; blood lactate = 3.5 mmol/l (31.5 mg/dl) (5.0 mmol/l [45 mg/dl] before fluids).

Question Answer Article
List at least five parameters or conditions that can contribute to non-responsive shock. Link to Article
Arterial blood gas, glucose, electrolyte panel, and hematocrit are normal. What step(s) are taken next to improve perfusion? Link to Article
Which of the following drugs might be used to treat non-responsive shock? How do they work? Dobutamine, dopamine, norepinephrine, Oxyglobin®, esmolol, diltiazem. Link to Article


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