TY - CHAP M1 - Book, Section TI - Vasopressors and Inotropes A1 - Rollstin, Amber A1 - Chiu, William C. A1 - Marshall, John P. A2 - Farcy, David A. A2 - Chiu, William C. A2 - Marshall, John P. A2 - Osborn, Tiffany M. PY - 2016 T2 - Critical Care Emergency Medicine, 2e AB - A shock state is characterized by hypoperfusion to organs, cellular hypoxia, and metabolic disorder resulting in cellular injury. Injury to the organs is mainly due to the duration of the hypoperfusion and the speed with which the etiology can be treated and the shock state can be reversed. When patients are hemodynamically unstable, an important and potentially life-saving intervention is the use of vasoactive therapies to restore appropriate tissue perfusion by increasing blood flow and thereby increasing oxygen delivery. Prior to or concurrent with initiating vasoactive or inotropic medications, it is essential to attempt to identify the potential cause of the shock state and guide therapy based on this presumptive diagnosis. Refer to Chapter 61, Classification of Shock, for further information. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1135700870 ER -