Shock Index:
- An early bedside assessment
- to quickly identify septic/ dengue patients early for resuscitation
- Is HR divided by SBP
- Normal range: 0.5 - 0.7
- SI > 1.0 is a/w significant poor clinical outcome with acute respiratory failure
- SI value is inversely proportionate with CI, SV, & MAP.
- SI value in most cases raise in proportionate with lactate. How this two correlates?
- Shock state (as a response of HR > SBP) causes cellular hypoxia, increase in norepinephrine release, resulting anaerobic respiration
- increase in lactate production! (HYPERLACTATEMIA)
Source of information is cited by:
Berger, T., Green, J., Horeczko, T., Hagar, Y., Garg, N., Suarez, A., … Shapiro, N. (2013). Shock index and early recognition of sepsis in the emergency department: pilot study. The West J. of Em Med, 14(2), 168–174. doi:10.5811/westjem.2012.8.11546
- An early bedside assessment
- to quickly identify septic/ dengue patients early for resuscitation
- Is HR divided by SBP
- Normal range: 0.5 - 0.7
- SI > 1.0 is a/w significant poor clinical outcome with acute respiratory failure
- SI value is inversely proportionate with CI, SV, & MAP.
- SI value in most cases raise in proportionate with lactate. How this two correlates?
- Shock state (as a response of HR > SBP) causes cellular hypoxia, increase in norepinephrine release, resulting anaerobic respiration
- increase in lactate production! (HYPERLACTATEMIA)
Source of information is cited by:
Berger, T., Green, J., Horeczko, T., Hagar, Y., Garg, N., Suarez, A., … Shapiro, N. (2013). Shock index and early recognition of sepsis in the emergency department: pilot study. The West J. of Em Med, 14(2), 168–174. doi:10.5811/westjem.2012.8.11546
Comments
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