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BURN  SHOCK 4  Vasopressin  Norepinephrine  Epinephrine




                             NEUROGENIC  SHOCK 2,3  Norepinephrine  Epinephrine  Vasopressin




                          Chart


                          Priority  CARDIOGENIC  SHOCK 1  Norepinephrine  Dobutamine   Epinephrine Maintain mean arterial pressure (MAP)  65 mmHg or as needed to achieve adequate end-organ perfusion (e.g. cerebral perfusion pressure, abdominal perfusion pressure, In Burn Shock casualties at risk of burn fluid over-



                          Vasopressor  SEPTIC  SHOCK  Norepinephrine  Vasopressin  Epinephrine Vasopressors should only be initiated with/after adequate resuscitation is provided with crystalloids, colloids, and/or blood products. 3. Phenylephrine should be avoided in most Neurogenic Shock patients due to unopposed








                             HYPOVOLEMIC   SHOCK  Vasopressors are not  recommended in the  initial stabilization of   hypovolemic shock.  Norepinephrine  1. In low output Cardiogenic Shock, dobutamine may be initiated in combination with norepinephrine. 2. Due to the physiologic nature of Neurogenic Shock, vasopre








                                                 urinary output).
                                  1°  2°  3°         (SCI) associated bradycardia. Units/hour) may be initiated to avoid volume overload.


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