Aortic Dissection

Aortic Dissection
[ ] aim for HR 60-80, SBP 90-100 mm Hg
- or to lowest level commensurate with cerebral, renal, cardiac fx
[ ] Esmolol gtt first (shear forces)
- 500 mcg/kg/min IV load dose, f/b gtt 50 mcg/kg/min titrate by 50s to goal
[ ] Then Nitroprusside gtt
- 0.5-3 mcg/kg/min IV; rates >4 mcg/kg/min may lead to cyanide toxicity
[ ] type & cross 4 units, stay 2 ahead

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