Bulk Suggestion Bulk ID: beejumm/08.30.26-03:30PM
Created at: Aug, 30, 2026 3:30 p.m.
Author: beejumm
Related Deck: 1774497721586
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New card based on MKSAP

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In septic shock that is no longer fluid responsive, the next step in management should be {{c1::norepinephrine administration}},<br><br><br>If refractory shock?<br>{{c1::Arginine vasopressin}}
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Initially 30 mL/kg crystalloid → more fluid only if volume responsive<br>
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Additional Resources
Additional Resources
https://doi.org/10.21037/jtd.2019.12.50<br>Hamzaoui O, Shi R. Early norepinephrine use in septic shock. J Thorac Dis. 2020;12:572-7. PMID: 32148928 doi:10.21037/jtd.2019.12.50
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Tags
#AK_ABIM::#MKSAP::ccmcq26002 #AK_ABIM::!Specialties::Critical_Care::01_Shock::03_Distributive_shock