Shock

Inadequate tissue perfusion Recognition - "Signs of End-Organ Dysfunction" Liver - Low platelets (<150) and high bilirubin (>1.2) Heart - MAP <70 mmHg, bradycardia (<45 bpm) Brain - AMS, delirium Kidney - Increased Cr, oliguria (<0.5ml/kg/hr) Metabolism - Lactate >4 Eval BMP, Ca, Mg, Phos, LFTs CBC, PT/INR CRP, Lactate Blood cultures, sputum culture, UA …