Primary Care Baseline | ACLS Algorithms
Hypotension/Shock Algorithm

vital signs, secure airway, O2, IV access, monitor, 12-lead EKG, CXR

rate too slow? YES -> bradycardia algorithm

rate too fast? YES -> tachycardia algorithm

suspect volume depleation? YES -> 250-500 ml fluid bolus

systolic BP <70 mmHg? YES -> norepinephrine 0.5-30 µg/min IV drip

improved BP? YES -> stop norepinephrine and move to dopamine 2.5-20 µg/kg/min IV drip

systolic BP 70-100 mmHg? YES -> continue dopamine drip


Related Topics: Adult Emergency Care Algorithm | Acute Pulmonary Edema Algorithm
Richard Rathe, MD / rrathe@dean.med.ufl.edu (November 8, 2000)