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George N. Aagaard, MD

JAMA. 1975;231(12):1274.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The management of shock is under the Drug Spotlight this quarter. Drugs play only a secondary role in this emergency. However, properly used, drugs may sustain life while efforts are made to correct the cause of shock, be it hemorrhage, trauma, anaphylaxis, extensive burns, or a severe infection. One or more of the following questions may be the focal point on which you may gather data as you study the management of shock in your hospital.

1. Were efforts made to detect and correct, if present, hypovolemia, acidosis, electrolyte disturbance, or hypoxia?
   
2. Was central venous pressure monitored as a guide to intravenous fluid administration?
   
3. How was blood pressure monitored?
   
4. If levarterenol (Levophed) bitartrate was used to raise an inadequate blood pressure, was the dose limited to the minimum that would provide satisfactory tissue perfusion?
   
5. If isoproterenol (Isuprel) hydrochloride was given, was it necessary to give another
   

Author Affiliations
School of Medicine, Department of Medicine University of Washington Seattle

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