BP ≤ 90 mmHg or MAP ≤ 60 mm Hg (SBP 2/3 + 1/3 DBP).
HR ≥ 120 bpm.
Peripheral hypoperfusion, marbling, oligoanuria.
Respiration
Tachypnoea.
Suprasternal Draw.
Swing thoracoabdominal.
Sweats, sometimes bradypnea <10 / min.
Monitoring
BP, T°, Sp O2
HR, RF
Examinations to achieve once initiated treatment.
ECG
Chest X-ray
Echocardiography._
Labo (FSS, Na, K, BNP, urea, creatinine, AST, ALT, GGT, troponin, glucose)
BNP is usually> 400pg / ml in patients with heart failure. If <100 pg / mL, consider an alternative diagnosis - Non-invasive test for ischemia, coronary angiography).
Search for arrhythmia (ECG, Holter, ET)
Search for alcohol or drugs.
Drug review (chemotherapy, antidepressants, phenothiazines, anti TNF).
