Give Me N = 10 敗血性休克

好記的 "從一到十" 敗血性休克順口溜

1. target blood sugar < 150 mg/dL (GRADE 2C Recommendation)

2. hydrocortisone 200-300 mg/day (GRADE 1A Recom.) = 50 mg iv q6h or 100 mg iv q8h

3. early goal: hemotocract > 30% (GRADE 1C Recom.)

4. serum lactate < 4 mmol/L (GRADE 1C Recom.) = 36 mg/dL

5. urine output > 0.5 ml/kg/h (GRADE 1C Recom.)

6. MAP > 65 mmHg (GRADE 1C Recom.)

7. ScvO2 > 70% (GRADE 1C Recom.)

8. CVP 8-12 mmHg (GRADE 1C Recom.) = 11-16 cmH2O
Update ref: 敗血性休克的輸液復甦：正相體液平衡和中心靜脈壓升高都會增加死亡率 (Crit Care Med. 2011 Feb;39(2):259-65)

9. target Hb 9 gm/dL in ICU (GRADE 1B Recom.)

10. lactate clearance > 10% in 2 hrs（明日之星，還不在敗血症指引中）

[2011-04 製作]

參考：2012 Surviving Sepsis Campaign 指引
Bonus：急診常見病徵 (Hsu)
2016 版本

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