Question

Goals for ABX treatment during shock

a) Prevent infection and promote wound healing
b) Reduce inflammation and pain
c) Improve oxygenation and lung function
d) Increase blood pressure and cardiac output

Answer 1

The goal for ABX treatment during shock is to support vital organ functions by increasing blood pressure and cardiac output. This entails administering intravenous fluids, broad-spectrum antibiotics, and sometimes vasoactive medications, along with treating complications like renal failure with dialysis and medications.

Step-by-step explanation:

The goals for antibiotic (ABX) treatment during shock, particularly septic shock, are to increase blood pressure and cardiac output to maintain adequate tissue perfusion and oxygenation. In the context of septic shock, the primary aim is to combat the infection and support vital organ functions. This involves the use of intravenous fluids to improve blood pressure and the administration of broad-spectrum antibiotics to reduce the bacterial load. Vasoactive medications may also be utilized to support blood pressure. Specific therapies like dialysis and medications to prevent blood clotting can be necessary when there are complications like kidney failure and disseminated intravascular coagulation (DIC).

For someone like Roberta, with septic shock and a kidney infection, the treatment would potentially involve the antibiotic tigecycline for drug-resistant bacteria, along with dialysis, intravenous fluids, and medications to maintain blood pressure and prevent clotting, addressing her clinical needs holistically.

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