{"id":37671,"date":"2025-09-09T10:19:48","date_gmt":"2025-09-09T13:19:48","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=37671"},"modified":"2025-09-09T10:19:50","modified_gmt":"2025-09-09T13:19:50","slug":"entenda-tudo-sobre-o-choque-pediatrico","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/","title":{"rendered":"Entenda tudo sobre o Choque Pedi\u00e1trico"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#O_que_e_Choque\" >O que \u00e9 Choque?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Quais_os_tipos_de_Choque\" >Quais os tipos de Choque?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Fisiopatologica\" >Fisiopatol\u00f3gica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Clinica\" >Cl\u00ednica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Etiologica_causa\" >Etiol\u00f3gica (causa)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Como_e_feito_o_diagnostico_e_o_tratamento\" >Como \u00e9 feito o diagn\u00f3stico e o tratamento?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Como_fazer_o_uso_de_Drogas_Vasoativas_DVAs\" >Como fazer o uso de Drogas Vasoativas (DVAs)?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Noradrenalina_Norepinefrina\" >Noradrenalina (Norepinefrina)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Adrenalina_Epinefrina\" >Adrenalina (Epinefrina)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Dopamina\" >Dopamina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Dobutamina\" >Dobutamina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Milrinone\" >Milrinone<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Vasopressina\" >Vasopressina<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/entenda-tudo-sobre-o-choque-pediatrico\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-1024x576.jpg\" alt=\"\" class=\"wp-image-37675\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Blog-MedCof-2025-09-09T101358.196.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>O p\u00fablico pedi\u00e1trico merece uma aten\u00e7\u00e3o especial em diversas patologias, inclusive o <strong>choque<\/strong>. A compreens\u00e3o de sua fisiopatologia, diagn\u00f3stico e manejo, especialmente com o <strong>uso de drogas vasoativas (DVAs)<\/strong>, \u00e9 fundamental para o sucesso do tratamento.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-choque\"><span class=\"ez-toc-section\" id=\"O_que_e_Choque\"><\/span><strong>O que \u00e9 Choque?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O<strong> choque <\/strong>\u00e9 uma condi\u00e7\u00e3o cl\u00ednica grave caracterizada por uma <strong>inadequa\u00e7\u00e3o entre a oferta e a demanda metab\u00f3lica de oxig\u00eanio nos tecidos.<\/strong> Isso resulta em hipoperfus\u00e3o celular. Para compensar o quadro, o organismo utiliza o <strong>metabolismo anaer\u00f3bico<\/strong>, o que aumenta os n\u00edveis de <strong>lactato<\/strong>. Em \u00faltimo caso, a inadequa\u00e7\u00e3o da oferta de oxig\u00eanio e nutrientes, junto com o ambiente acid\u00f3tico, leva \u00e0 <strong>fal\u00eancia de \u00f3rg\u00e3os e sistemas.<\/strong><\/p>\n\n\n\n<p>A oferta de oxig\u00eanio (DO2) \u00e9 calculada pela f\u00f3rmula:&nbsp;<\/p>\n\n\n\n<p><strong>DO<\/strong><strong><sub>2<\/sub><\/strong><strong> = DC x (Hb x 1,34 x SatO<\/strong><strong><sub>2<\/sub><\/strong><strong>) + 0,003 x PaO<\/strong><strong><sub>2<\/sub><\/strong><\/p>\n\n\n\n<p>O d\u00e9bito card\u00edaco (DC), por sua vez, \u00e9 o produto da <strong>frequ\u00eancia card\u00edaca (FC)<\/strong> e do <strong>volume sist\u00f3lico (VS).<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"913\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-1024x913.png\" alt=\"Esquema explicativo da rela\u00e7\u00e3o entre press\u00e3o arterial, d\u00e9bito card\u00edaco e resist\u00eancia vascular perif\u00e9rica, destacando fatores como volume sist\u00f3lico, frequ\u00eancia card\u00edaca, volemia e raio do vaso, com aplica\u00e7\u00e3o da Lei de Poiseuille.\" class=\"wp-image-37672\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-1024x913.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-300x267.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-768x685.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-471x420.png 471w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-150x134.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-696x621.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32-1068x952.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-32.png 1217w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Hemodin\u00e2mica normal, onde o\u00a0 volume sist\u00f3lico \u00e9 influenciado pela pr\u00e9-carga, contratilidade e p\u00f3s-carga. | Acervo de Aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quais-os-tipos-de-choque\"><span class=\"ez-toc-section\" id=\"Quais_os_tipos_de_Choque\"><\/span><strong>Quais os tipos de Choque?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O choque pode ser classificado de diversas maneiras para auxiliar no diagn\u00f3stico e tratamento:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fisiopatologica\"><span class=\"ez-toc-section\" id=\"Fisiopatologica\"><\/span><strong>Fisiopatol\u00f3gica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Choque Compensado: <\/strong>A press\u00e3o arterial est\u00e1 adequada, mas j\u00e1 existem sinais de <strong>hipoperfus\u00e3o tecidual<\/strong>.<\/li>\n\n\n\n<li><strong>Choque Hipotensivo:<\/strong> A press\u00e3o arterial sist\u00f3lica est\u00e1 abaixo do percentil 5 (p5), e <strong>sinais de hipoperfus\u00e3o s\u00e3o evidentes<\/strong>.<\/li>\n\n\n\n<li><strong>Choque Irrevers\u00edvel:<\/strong> Ocorre a <strong>falha dos mecanismos de compensa\u00e7\u00e3o<\/strong> e a consequente fal\u00eancia de m\u00faltiplos \u00f3rg\u00e3os.\u00a0<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-clinica\"><span class=\"ez-toc-section\" id=\"Clinica\"><\/span><strong>Cl\u00ednica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Choque Frio: <\/strong>Caracterizado por <strong>vasoconstri\u00e7\u00e3o secund\u00e1ria<\/strong> e <strong>redu\u00e7\u00e3o do d\u00e9bito card\u00edaco<\/strong>. Os sinais incluem <strong>extremidades frias, palidez, pele mosqueada<\/strong> (moteada), <strong>tempo de enchimento capilar lento e pulsos finos.<\/strong><\/li>\n\n\n\n<li><strong>Choque Quente:<\/strong> Caracterizado por <strong>vasodilata\u00e7\u00e3o<\/strong> e <strong>aumento do d\u00e9bito card\u00edaco<\/strong>. Os sinais cl\u00ednicos incluem <strong>extremidades quentes, tempo de enchimento capilar r\u00e1pido (em flush), pulsos amplos e press\u00e3o de pulso elevada<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-etiologica-causa\"><span class=\"ez-toc-section\" id=\"Etiologica_causa\"><\/span><strong>Etiol\u00f3gica (causa)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hipovol\u00eamico:<\/strong> Causado pela <strong>perda de sangue<\/strong> (hemorr\u00e1gico) ou de <strong>fluidos<\/strong> (n\u00e3o hemorr\u00e1gico).<\/li>\n\n\n\n<li><strong>Obstrutivo: <\/strong>Devido a uma <strong>obstru\u00e7\u00e3o do fluxo sangu\u00edneo<\/strong>, como no tamponamento card\u00edaco, tromboembolismo pulmonar (TEP) ou pneumot\u00f3rax hipertensivo.<\/li>\n\n\n\n<li><strong>Cardiog\u00eanico:<\/strong> Resultante de <strong>disfun\u00e7\u00e3o card\u00edaca<\/strong>.<\/li>\n\n\n\n<li><strong>Distribuitivo:<\/strong> Causado por <strong>vasodilata\u00e7\u00e3o generalizada<\/strong>, como no <strong>choque s\u00e9ptico<\/strong>, <strong>anafil\u00e1tico ou neurog\u00eanico<\/strong>.<\/li>\n\n\n\n<li><strong>Dissociativo:<\/strong> Quando as hem\u00e1cias n\u00e3o conseguem liberar oxig\u00eanio adequadamente aos tecidos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-e-feito-o-diagnostico-e-o-tratamento\"><span class=\"ez-toc-section\" id=\"Como_e_feito_o_diagnostico_e_o_tratamento\"><\/span><strong>Como \u00e9 feito o diagn\u00f3stico e o tratamento?\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O diagn\u00f3stico do choque \u00e9 feito por meio da <strong>avalia\u00e7\u00e3o cl\u00ednica, anamnese e exames complementares,<\/strong> como o ecocardiograma (POCUS &#8211; ultrassonografia Point of Care). O tratamento \u00e9 multifacetado e busca otimizar a <strong>oferta de oxig\u00eanio<\/strong> e <strong>reduzir a demanda metab\u00f3lica. <\/strong>J\u00e1 discutimos um pouco sobre a <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-como-prestar-assistencia-correta-apos-choque\/\">assist\u00eancia ap\u00f3s o choque <\/a>&nbsp;em pacientes em geral, mas na pediatria temos mais alguns detalhes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Otimizando a Oferta:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>&nbsp;\u00c9 fundamental aumentar o d\u00e9bito card\u00edaco com volume <strong>(cristaloides)<\/strong> ou drogas vasoativas <strong>(DVAs)<\/strong>. Podemos tamb\u00e9m, aumentar a <strong>oferta de O<\/strong><strong><sub>2<\/sub><\/strong> com aumento da fra\u00e7\u00e3o inspirada de O<sub>2<\/sub> (FiO<sub>2<\/sub>) e\/ou <strong>transfus\u00e3o de hem\u00e1cias<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reduzindo a Demanda:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Realizamos <strong>seda\u00e7\u00e3o, analgesia e intuba\u00e7\u00e3o orotraqueal<\/strong> (IOT), al\u00e9m do controle de temperatura e suporte nutricional.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-fazer-o-uso-de-drogas-vasoativas-dvas\"><span class=\"ez-toc-section\" id=\"Como_fazer_o_uso_de_Drogas_Vasoativas_DVAs\"><\/span><strong>Como fazer o uso de Drogas Vasoativas (DVAs)?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>As DVAs agem em <strong>receptores adren\u00e9rgicos<\/strong> (ligados \u00e0 prote\u00edna G) para otimizar a hemodin\u00e2mica.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"771\" height=\"304\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33.png\" alt=\"\" class=\"wp-image-37673\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33.png 771w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33-300x118.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33-768x303.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33-150x59.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-33-696x274.png 696w\" sizes=\"auto, (max-width: 771px) 100vw, 771px\" \/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0034-70942001000500010\">https:\/\/doi.org\/10.1590\/S0034-70942001000500010<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-noradrenalina-norepinefrina\"><span class=\"ez-toc-section\" id=\"Noradrenalina_Norepinefrina\"><\/span><strong>Noradrenalina (Norepinefrina)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Tem a\u00e7\u00e3o predominante em <strong>receptores alfa-1,<\/strong> causando vasoconstri\u00e7\u00e3o. \u00c9 indicada para choque s\u00e9ptico em adolescentes e adultos (<strong>choque quente<\/strong>).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-adrenalina-epinefrina\"><span class=\"ez-toc-section\" id=\"Adrenalina_Epinefrina\"><\/span><strong>Adrenalina (Epinefrina)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A\u00e7\u00e3o mista, predominando em <strong>receptores beta-1<\/strong> (aumenta contratilidade e frequ\u00eancia card\u00edaca) em doses mais baixas e em <strong>receptores alfa-1<\/strong> (vasoconstri\u00e7\u00e3o) em doses mais altas. \u00c9 indicada no <strong>choque s\u00e9ptico<\/strong>, principalmente na presen\u00e7a de disfun\u00e7\u00e3o card\u00edaca (<strong>choque frio<\/strong>).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-dopamina\"><span class=\"ez-toc-section\" id=\"Dopamina\"><\/span><strong>Dopamina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Sua a\u00e7\u00e3o \u00e9 <strong>dose-dependente<\/strong>. Doses baixas atuam em receptores <strong>D1<\/strong> e <strong>D2<\/strong> (vasodilata\u00e7\u00e3o espl\u00e2ncnica), intermedi\u00e1rias em <strong>beta-1<\/strong> (aumenta contratilidade e frequ\u00eancia) e altas em <strong>alfa-1<\/strong> (vasoconstri\u00e7\u00e3o). Atualmente, \u00e9 mais utilizada em <strong>neonatologia<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-dobutamina\"><span class=\"ez-toc-section\" id=\"Dobutamina\"><\/span><strong>Dobutamina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Tem a\u00e7\u00e3o <strong>beta-agonista<\/strong> predominante (<strong>beta-1 > beta-2).<\/strong> Aumenta a contratilidade e frequ\u00eancia card\u00edaca com vasodilata\u00e7\u00e3o sist\u00eamica. \u00c9 a droga de escolha para <strong>choque<\/strong> <strong>cardiog\u00eanico<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-milrinone\"><span class=\"ez-toc-section\" id=\"Milrinone\"><\/span><strong>Milrinone<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00c9 um <strong>inibidor da fosfodiesterase<\/strong> 3, com efeito <strong>inotr\u00f3pico<\/strong> e <strong>lusotr\u00f3pico<\/strong>, al\u00e9m de vasodilata\u00e7\u00e3o sist\u00eamica e pulmonar. Indicado em <strong>choque cardiog\u00eanico<\/strong>, disfun\u00e7\u00e3o mioc\u00e1rdica e hipertens\u00e3o pulmonar.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-vasopressina\"><span class=\"ez-toc-section\" id=\"Vasopressina\"><\/span><strong>Vasopressina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Atua em <strong>receptores V1a<\/strong>, causando vasoconstri\u00e7\u00e3o. \u00c9 indicada em <strong>choque refrat\u00e1rio<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-960x1024.png\" alt=\"\" class=\"wp-image-37674\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-960x1024.png 960w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-281x300.png 281w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-768x819.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-394x420.png 394w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-150x160.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-300x320.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-696x742.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34-1068x1139.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/image-34.png 1099w\" sizes=\"auto, (max-width: 960px) 100vw, 960px\" \/><figcaption class=\"wp-element-caption\">Potencial de a\u00e7\u00e3o de cada f\u00e1rmaco sobre os receptores adren\u00e9rgicos alfa e beta. Fonte: <a href=\"https:\/\/doi.org\/10.1378\/chest.07-0291\">https:\/\/doi.org\/10.1378\/chest.07-0291<\/a>.\u00a0<br><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-seja-um-medcofer\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o conhe\u00e7a o Grupo MedCof e a metodologia que j\u00e1 aprovou<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>mais de 20 mil residentes<\/strong>&nbsp;<\/a>pelo pa\u00eds. Por fim, voc\u00ea pode acessar o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>e ver o nosso material de revis\u00e3o e corre\u00e7\u00e3o.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"\"><iframe loading=\"lazy\" title=\"O QUE VOC\u00ca PRECISA SABER SOBRE DROGAS VASOATIVAS EM PEDIATRIA\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/pX4OFuINTEE?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Entenda o que \u00e9 o Choque Pedi\u00e1trico, a compreens\u00e3o de sua fisiopatologia, diagn\u00f3stico e manejo. Clique e confira j\u00e1!<\/p>\n","protected":false},"author":21,"featured_media":37675,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[120],"tags":[1262,3178],"ppma_author":[3617],"class_list":{"0":"post-37671","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pediatria","8":"tag-choque","9":"tag-drogas-vasoativas"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Entenda tudo sobre o Choque Pedi\u00e1trico - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Entenda o que \u00e9 o Choque Pedi\u00e1trico, a compreens\u00e3o de sua fisiopatologia, diagn\u00f3stico e manejo. 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