Diferencia entre revisiones de «Template:Sepsis Guidelines Steroids»
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=== 2012 Surviving Sepsis Campaign Guidelines for Steroid Use<ref>[http://www.sccm.org/Documents/SSC-Guidelines.pdf#page=19 Surviving Sepsis Campaign 2012 guidelines]</ref>=== | === 2012 Surviving Sepsis Campaign Guidelines for Steroid Use<ref>[http://www.sccm.org/Documents/SSC-Guidelines.pdf#page=19 Surviving Sepsis Campaign 2012 guidelines]</ref>=== | ||
* Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor | * Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor therapy are able to restore hemodynamic stability. Otherwise intravenous hydrocortisone alone at a dose of 200 mg per day (grade 2C) | ||
therapy are able to restore hemodynamic stability. Otherwise intravenous hydrocortisone alone at a dose of 200 mg per day (grade 2C) | |||
*Do not use ACTH stimulation test to identify adults with septic shock who should receive hydrocortisone (grade 2B). | *Do not use ACTH stimulation test to identify adults with septic shock who should receive hydrocortisone (grade 2B). | ||
*Tapering off hydrocortisone when vasopressors are no longer required is not needed (grade 2D). | *Tapering off hydrocortisone when vasopressors are no longer required is not needed (grade 2D). | ||
*Do not use corticosteroids for the treatment of sepsis in the absence of shock (grade 1D). | *Do not use corticosteroids for the treatment of sepsis in the absence of shock (grade 1D). | ||
*When hydrocortisone is given, use continuous flow (grade 2D) | *When hydrocortisone is given, use continuous flow (grade 2D) | ||
Revisión actual - 11:58 10 mar 2014
2012 Surviving Sepsis Campaign Guidelines for Steroid Use[1]
- Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor therapy are able to restore hemodynamic stability. Otherwise intravenous hydrocortisone alone at a dose of 200 mg per day (grade 2C)
- Do not use ACTH stimulation test to identify adults with septic shock who should receive hydrocortisone (grade 2B).
- Tapering off hydrocortisone when vasopressors are no longer required is not needed (grade 2D).
- Do not use corticosteroids for the treatment of sepsis in the absence of shock (grade 1D).
- When hydrocortisone is given, use continuous flow (grade 2D)