Dobutamine is better than dopamine in shock especially when you need to improve low cardiac output.
And unlike dopamine the dobutamine doesn't have any effect on the a2 adrenergic receptors.
However dobutamine should not be used in people that are affected by outflow obstructions like hypertrophic obstructive cardiomyopathy or pulmonic stenosis.
The key to the survival of shock is to seek immediate and prompt medical attention by calling 911 or your emergency services number.
Once you get to the hospital the key to survival of shock is prompt treatment and identifying the cause of the shock and initiating combination vasopressor therapy.
Even with multiple rescue therapy for shock, multi organ failure is also common so monitoring of the patient is vital.
The organs that are damaged in shock are the brain, liver and kidneys although the lungs can also be damaged during shock.
Shock often causes organ damage to the liver, brain and kidneys and shock can also lead to respiratory failure and cardiac arrest.
More than 90 percent of young and otherwise healthy people that have hypovolemic shock will survive with proper and prompt treatment.
The complication of shock that has the highest mortality rate is cardiogenic shock with a mortality rate between 50 percent to 70 percent followed by septic shock which has a mortality rate of between 40 percent to 50 percent.
When someone goes into shock it causes cold and clammy skin as well as pale skin and can cause shallow rapid breathing, anxiety and difficulty breathing.
The 4 key signs of shock are.
Low blood pressure.
An altered mental state which includes reduced awareness and reduced alertness, sleepiness and confusion.
Weak or rapid pulse.
Cold moist skin and the hands and feet may be pale or blue.
Other signs of shock are rapid breathing and hyperventilation and decreased urine output.
When someone is going into shock you should first call 911 and seek medical attention.
Lay the person down if possible and begin CPR if needed.
Keep the person warm and comfortable while waiting for emergency services to arrive.
When someone goes into shock it is a life threatening condition that occurs when the body is not getting enough blood flow.
Lack of blood flow means the cells and organs do not get enough oxygen and nutrients to function properly.
Many organs can be damaged as a result of shock and shock requires immediate treatment and can get worse very rapidly.