Professional Documents
Culture Documents
Nelson Akamine
Constantino Jos Fernandes
Elizer Silva
Gustavo Luiz Bchele
Jefferson Piva
Introduo
Metodologia
Reposio Volmica
1. Medida da Volemia
Tabela 1. Constituio e distribuio dos principais fluidos utilizados nos pacientes spticos.
g/L: quantidade de protenas em gramas por litro Osmol: expresso em miliosmois por litro
Na | K | Cl | Ca: quantidade em miliequivalentes por litro T1/2: meia vida expressa em horas
Glicose | Lactato: expresso em miligramas por decilitro Onco: presso onctica expressa em milmetros de mercrio
6. Recomendaes
Nveis de hemoglobina de 7-8 mg/dl podem ser aceitos na sepse grave. Essa
afirmao uma recomendao grau B.
Drogas Vasoativas
1. Monitorizao Hemodinmica
Receptor
Catecolamina 1 2 DA1 DA2
Isoproterenol 0 ++ +++ 0 0
Dopamina
0-3 g/kg/min 0/+ + + ++ ++
2-10 g/kg/min + ++ + ++ ++
> 10 g/kg/min ++ ++ + ++ ++
Dopexamina 0 + +++ + +
Dobutamina + +++ ++ 0 0
Adrenalina +++ ++ +++ 0 0
Noradrenalina +++ ++ + 0 0
Fenilefrina +++ 0 0 0 0
ndice
Cardaco
Consumo de O2
Linhas de VO2
crescentes
Taxa de Extrao de O2
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