Shock
This presentation is the property of its rightful owner.
Sponsored Links
1 / 72

SHOCK PowerPoint PPT Presentation


  • 274 Views
  • Uploaded on
  • Presentation posted in: General

SHOCK. By Kanjana Arechep. SHOCK. หมายถึง

Download Presentation

SHOCK

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


SHOCK

By Kanjana Arechep


SHOCK

  • cell O2 O2 cell


3

  • Hypovolemic or Hematogenic shock

  • Cardiogenic shock

  • Vasogenic or Distributive shock

    3.1 Neurogenic shock

    3.2 Septic or Bacteremic shock

    3.3 Anaphylactic shock


Hypovolemic shock

  • shock shock

    . External fluid loss ()

    . Internal fluid loss ()


Hypovolemic shock

  • External fluid loss ()

    -

    - (, )

    -

    -


Hypovolemic shock

. Internal fluid loss ()

- 1-8 unit

- peritonitis, pancreatitis, obstruction of bowel

-


Hypovolemic shock

O2 cell

cell O2

1


Cardiogenic shock

  • shock 1 cell 2


Cardiogenic shock

  • (pump failure)


Cardiogenic shock

2) ( Ventricular diastolic filling) 1 (cardiac tamponade)


Cardiogenic shock

  • 1 2.5 // shock


Vasogenic shock

  • shock 1 O2


Vasogenic shock

  • shock (systemic vascular resistance) 1 O2


Neurogenic shock

  • shock


Neurogenic shock

1

Oxygen

cell oxygen


Neurogenic shock

  • 2

    . (cerebral damage) medulla barbiturate


Neurogenic shock

. (spinal cord injury) preganglionic vasoconstrictor nerve


Septic or Bacteremic shock

  • shock gram- gram+


Septic or Bacteremic shock

  • gram- Endotoxin


Septic or Bacteremic shock

  • shock Endotoxin Histamine,Serotonin, Kinin


Septic or Bacteremic shock

  • tissue thromboplastin


Septic or Bacteremic shock

. shock

.


Anaphylactic shock

  • shock (antigen) (antibody) Immunoglobulin E: IgE complement (Histamine, Kinin, prostaglandin) shock


shock


shock

9)

10)


Shock

  • 3

    - (Initial stage)

    - (Compensatory stage or nonprogressive stage)

    - (Decompensated or progressive stage)

    - (Irreversible or final stage)


  • : shock (acute tubular necrosis: ATN) 7 ml/hr. shock


  • shock coronary


  • shock


  • (Intra pulmonary shunting) (Compliance) (Adult respiratory distress syndrome: ARDS)


  • Hydrogen ion Hydrolytic enzyme shock


  • bilirubin (jaundice) phagocytosis



  • : peptide

  • : shock

  • : creatinine



  • Pre-load

  • Afterload


Pre-load

  • 1

    - shock NSS, Lactated ringer, Acetated ringer 3%, 5% saline

    - Albumin, Hemacell,


Afterload

  • Afterload

    - Sodium nitroprusside Dopamine


Sodium nitroprusside

  • Side effect:


Afterload

  • Nitroglycerine: Sodium nitroprusside


Nitroglycerine

Side effect-


  • Cannular

  • Mask

  • Mask with bag


  • . (Vasoconstrictive inotropic agent)

    Norepinephrine Levophed, Metaraminal Aramine, Dopamine, Adrenaline, Epinephrine


. (Vasodilator inotropic agent)

Dobutamine Dobutrex, Isoproterenol Isoprel, Dopamine Hcl


. Digitalis

. Phosphodiesterase inhibitors


Levophed

  • Side effect:


Aramine

  • levophed

  • Side effect:


Dopamine

  • Na


Dopamine

  • Sideeffect:


Adrenaline

  • 1 glycogen


Adrenaline

  • Side effect:


Dobutrex

  • dopamine dobutrex + dopamine


Dobutrex

  • Side effect: ( atrail fibrillation)


Isoprel

  • Side effect: (Ventricula fibrillation)


Digitalis

  • S.A. node, A.V. node


Digitalis

  • Side effect:


  • shock

  • shock

  • shock


  • Intra aortic balloon counterpulsation: IABC

  • Intra aortic balloon pump: IABP

    shock coronary after load


  • balloon Femoral artery Descending aorta subclavian Helium CO2 balloon balloon balloon


IABC


  • Military antishock trousers: MAST

  • Pneumatic counter pressure garment: PASG

    3


MAST


  • Percutaneous transluminal balloon coronary angioplasty: PTCA

    coronary arteryballoon femoral artery atherosclerotic plaque shock


  • (Hyperbaric oxygenation)

  • (Organ transplantation)



  • Login