CV BP1
If unable to maintain SBP >90 EPINEPHRINE 0.1-0.3 mcg/kg/min drip (Titrate to SBP > 90) Norepinephrine 0.1-1.0 mcg/kg/min drip (Titrate to SBP > 90) If SBP < 90, initiate DOPAMINE 5-20 mcg/kg/min... Nitroprusside drip (range 0.1-2.0 mcg/kg/min) with BP Q 1 min Labetolol 20 mg IV bolus Q 10 min (up to 300 mg max) NTG drip* starting at Pt<75kg =10 mcg/min, Pt>75kg =20... CVS Sxs CNS Sxs 250-500 cc NS boluses up to 2-3 liters total or fluid overload... No signs of fluid overload Fluid overload (rales, edema, JVD) IV NS at TKO (2 lines if able) SBP < 90 with symptoms* DBP > 120 mm Hg With end organ Sxs* Hypotension Hypertension UPDATE MEDICAL CONTROL UPDATE MEDICAL CONTROL UPDATE MEDICAL CONTROL IV NS at TKO Airway support as needed. See Airway Management Protocol Routine Medical Assessment