This document discusses hypovolemic shock, which is caused by a reduction in intravascular volume leading to insufficient oxygen delivery to cells. It defines the three categories of hypovolemic shock - compensated, uncompensated, and lethal exsanguination - and describes the body's physiological response and management goals in each category. The key goals in management are to secure the airway, control hemorrhaging, restore intravascular volume through fluid resuscitation with crystalloids and blood transfusions, and correct any electrolyte or acid-base disturbances.
Simple medical student presentation about distributive shock, type and pathophysiology of each septic shock, anaphylactic shock, neurogenic shock
including management, prognosis and disposition of patient..
brief info of type of inotropes and when to start.
Presentation on clinical signs of hypovolemic shock and the best ways to approach stabilizing these patients before sending them on to a referral center with more sophisticated equipment for treating such cases.
Simple medical student presentation about distributive shock, type and pathophysiology of each septic shock, anaphylactic shock, neurogenic shock
including management, prognosis and disposition of patient..
brief info of type of inotropes and when to start.
Presentation on clinical signs of hypovolemic shock and the best ways to approach stabilizing these patients before sending them on to a referral center with more sophisticated equipment for treating such cases.
Cardiogenic shock : Medical Surgical NursingRaksha Yadav
This
presentation is designed for Nursing students and it gives a brief
about what you should know while caring for a client with Cardiogenic
shock and also its prevention.
9. Hypovolemic Shock
Hemorrhagic shock (3 categories)
Compensated:
– 0-20% of blood loss
– Blood pressure is maintained via increased
vascular tone and increased blood flow to vital
organs
11. Hypovolemic Shock
The Organs who win:
Brain
Heart
Kidneys
Liver
The Organs who lose:
Skin
GI tract
Skeletal Muscle
12. HypovolemicShock
But why
The body will make whatever adjustsments it can to
maintain….
Adequate
Cardiac
Output
Brain and heart perfusions remain near normal while
other less critical organ systems are, in proportion to the
blood volume deficit, stressed by ischemia.
18. Hypovolemic Shock
Management:
ABCs of trauma (AIRWAY is
always first!)
Control hemorrhage (splint the
limb!!)
Obtain IV access and resuscitate
with fluids and blood
– 2 liters crystalloid for adults
– 20 cc/kg crystalloid x 2 for kids
Blood vs. Crystalloid??
Long term critical care
management
19. Hypovolemic Shock
Your management goals AFTER securing the
ABCs:
STOP THE BLEEDING!
RESTORE VOLUME!
CORRECT ANY ELECTROLYTE/ACID-BASE
DISTURBANCES!
22. Hypovolemic Shock
Volume Resuscitation ~ What are my goals?
Rapid Responder
– Give 500cc-1 Liter crystalloid rapid
improvement of BP/HR/Urine output
– < 20% blood loss
– Surgery consult
23. Hypovolemic Shock
Volume Resuscitation ~ What are my goals?
Transient Responder
– Give 500cc-1 Liter crystalloid improves
briefly then deteriorates
– 20-40% blood loss
– Continue crystalloid infusion +/- Blood
– Surgery consult
24. Hypovolemic Shock
Volume Resuscitation ~ What are my goals?
Non Responder
– Give 2 Liters crystalloid/ 2 units Blood no
response
– > 40% blood loss
– STAT Surgery consult!
25. Hypovolemic Shock
Is my volume resuscitation
adequate/inadequate?
Urine output
Vital signs
Skin perfusion
Pulse Oximetry
Acidemia??
26. Septic Shock
An exaggerated endogenous inflammatory
response to invasive infection leading to:
circulatory collapse
multiple organ failure
death
31. Cardiogenic Shock
Causes most likely to see on the surgery wards:
Acute MI
Arrhythmia (A. fib)
Cardiac Contusion
Cardiac Tamponade
Massive Pulmonary Embolism
Decompensated Congestive Heart Failure