Distributive shock is characterised by excessive vasodilatation (reduction in vasomotor tone), reduced bp and relatively preserved. Drug overdose or toxicity should always be considered, particularly potent vasodilators such as calcium channel blockers and hydralazine. In distributive shock, norepinephrine is recommended as the initial vasoactive drug after appropriate fluid resuscitation [2, 102].
Specific shock states distributive/septic shock. Septic shock is the most common form of distributive shock and is characterized. Placement of pulmonary artery (pa) and arterial catheters should be considered.
Increasing intravascular volume is the initial management of distributive shock. If hypotension persists, vasopressin (up to 0.03. Distributive shock results from excessive vasodilation and the impaired distribution of blood flow. Vasoactive medications are frequently used in the ed management of shock to increase mean arterial blood pressure (map) and restore organ perfusion and oxygen delivery.
The speed at which treatment to restore. Vasoactive therapy may be considered in managing distributive shock when initial fluid resuscitation fails to restore adequate blood pressure and tissue perfusion. The intent is to overcome the inappropriate redistribution of existing volume by providing. A central venous access device should be considered if vasoactive drug support is required.
Septic shock is the most frequent form of distributive shock. 1 royal papworth hospital nhs foundation trust, cambridge, uk. Distributive shock is characterised by excessive vasodilatation (reduction in vasomotor tone), reduced bp and relatively preserved cardiac. Distributive shock as a result.
2 st george's university hospitals. When fluid administration fails to restore adequate arterial pressure and organ perfusion in patients with shock, therapy with vasoactive agents should be initiated.