SHOCK 1. management of clients with burns and shock. • Predation may result in sepsis from bacteria in the blood stream, as well as loss of blood from wounds. Severe bradycardia (e.g. Present recovery rates are upto 50%. Lactate. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Shock Pathophysiology And Management PPT Spinal Cord Injury.complete. Acute pulmonary oedema (for treatment, see Heart failure in adults, Chapter 12). Cardio Lecture … Uploaded by. Clipping is a handy way to collect important slides you want to go back to later. Data sources: Articles and published peer-review abstracts and a review of studies reported from 1994 to 1998 and identified through a MEDLINE search of the English language literature on septic shock, cardiogenic shock and hypovolaemic shock. heart rate below ~45) should always raise concern for shock. DelindaEvans. management. Give antibiotics. The person must be returned to an age-appropriate heart rate and blood pressure, restored mental status, capillary refill, normal pulses, and a minimum of 1 mL/kg an hour output of urine, in objective terms. This allows estimation of the amount and the rate of blood loss and helps direct treatment. Looks like you’ve clipped this slide to already. SHOCK – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3da13-MTUyZ Shock Management Erin Burrell, ACNP-BC Surgical ICU Nurse Practitioner Case study cont.. After initiating milrinone and levophed therapy, Mrs. S improves. Download powerpoint; Figure 1. Objective: To review pathophysiology and management of hypovolaemic, cardiogenic and septic shock in a two-part presentation. Flow diagram for the management of a patient with suspected sepsis. Traumatic shock Caused by major fractures, crush injuries, burns, extensive soft tissue injuries. KoRnflakes. Askep Shock Sepsis, Anafilaktik . Conceptual algorithm for the management of cardiogenic shock (CS). Give fluids at 30 mL/kg if: initial hypotension, lactate ≥ 4, or septic shock. • Describe early and ongoing management strategies. CS is caused by severe impairment of myocardial performance that results in diminished cardiac output, end‐organ hypoperfusion, and hypoxia. Initial assessment of the bleeding patient requires monitoring blood pressure, pulse, capillary refill, mental status and urinary output. Cardiogenic shock (CS) is a clinical condition of inadequate tissue(end organ) perfusion due to cardiac dysfunction • Hypotension (SBP < 80-90 mmHg) or MAP 30 mmHg below baseline • Reduced cardiac index(<1.8 L/min per m2) <2.0-2.2 L/min per m2 with support • Adequate or elevated filling pressures. SHOCK [ Pathophysiology,Types & Mgt ] Prof. Utham Murali. Open in figure viewer PowerPoint. Shock and hypotension often co-exist, BUT a normal blood pressure DOES NOT exclude the diagnosis of shock. • Vehicle trauma can result in a loss of blood through wounds or fractures. anon-734120. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 48ba34-ZWFjN Jen Passilan. Clipping is a handy way to collect important slides you want to go back to later. Shock index over ~0.8 suggests significant instability and possible shock. The management of patients with shock is extremely challenging because of the myriad of possible clinical presentations in cardiogenic shock, septic shock and hypovolemic shock and the limitations of contemporary therapeutic options. View and Download PowerPoint Presentations on Shock Pathophysiology And Management PPT. You can change your ad preferences anytime. CONTENTS • Introduction • Definition • Classification • Pathophysiology • Stages of shock • General features and effects of shock • Types of shock • Dental considerations in shock • Management of shock in dental office • Conclusion • References 3 If you continue browsing the site, you agree to the use of cookies on this website. Cardiogenic shock (CS) is a common cause of mortality, and management remains challenging despite advances in therapeutic options. Shock - Pathophysiology / Types & Management, No public clipboards found for this slide. SHOCK Dr Shilpa Shivanand 1st MDS Dept Periodontology 2 3. Sepsis y Shock. Shock 1. Looks like you’ve clipped this slide to already. The most common reasons for presentation are also the most common causes of shock. 20 Management of Shock Margherita Murgo, Gavin Leslie Learning objectives After reading this chapter you should be able to: • describe the clinical manifestations of shock • distinguish between the various shock states • describe general principles of shock management • identify appropriate monitoring for a patient with shock • review and evaluate care… • Diarrhoea results in a loss of body water and electrolytes, and may also have sepsis associated with it. Diagnosis and Management of Shock. Sepsis is a life-threatening organ dysfunction that results from the body’s response to infection. 1 2. Diagnosis and Management of Sepsis and Septic Shock Martin D. Black MD Concord Pulmonary Medicine . Uploaded by . See our User Agreement and Privacy Policy. Upload; Login; Signup ... “Reversible stage during which compensatory mechanisms are effective and homeostasis is maintained” Clinical presentation begins to reflect the body’s response to the imbalance of oxygen supply and demand Metabolism changes at the cellular level from aerobic to anaerobic, causing the lactic … Assigment. Uploaded by. Shock - Pathophysiology / Types & Management 1. Review Shock and Types of Shock ¾ Review Mechanisms/Features of Hypovolemic Shock and Physiologic Response ¾ Discuss Monitoring/Management of the Patient in Hypovolemic Shock. Reperfusion assessment ©2019 CHA. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Medicine 2nd Long Exam Batch 2013. Obstetricians should be aware of the clinical manifestations and principles of management of hemorrhagic shock. Hypovolemia due to bleeding externally and internally and due to toxic factors resulting fragments of tissue entering blood stream. Blood cultures x2 before antibiotics. If you continue browsing the site, you agree to the use of cookies on this website. Now customize the name of a clipboard to store your clips. Management of Septic Shock - Management of Septic Shock Dr Rajath A. Septic Shock Septic shock- once a uniformly fatal condition with 100% mortality. Shock - Pathophysiology / Types & Management, Dr. Alamzeb Associate professor ,HOD Physiology Saidu Medical College saidu Sharif Swat Pakistan, No public clipboards found for this slide. Diagnosis and Management of Shock - Diagnosis and Management of Shock Dr. Anas Khan Consultant, EM MBBS, MHA, ArBEM 428 C2 notes | PowerPoint PPT presentation | free to view Shock in obstetrics for undergraduate - Undergraduate course lectures in Obstetrics&Gynecology ,Faculty of medicine,Zagazig University prepared by DR Manal Behery | PowerPoint PPT presentation | free to view RN 1 Final OutlineChap35 Cardio. See our Privacy Policy and User Agreement for details. Disclosures • Financial: none . Management of patients with established sepsis Haemodynamic management. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. SlideShare Explore Search You. Prevention of progressive cardiac and systemic compromise requires early recognition typically requiring right and left catheterisation and … Objectives Definition Review basic physiologic aspects of shock Different categories with Etiology &Clinical features Management aspects 3. Management of the Anaphylactic Shock - Emergency Medicine Symposium Hu March 2012 Management of the Anaphylactic Shock Eric Revue1, MD Pr A. Bellou2, MD 1 European Society for Emergency Medicine | PowerPoint PPT presentation | free to view – Acute left heart failure with pulmonary oedema. Now customize the name of a clipboard to store your clips. Treatment Treatment of infection by early surgical debridement or drainage , appropriate antibiotics Treatment of shock- fluid replacement, steroids 34. Clinical Presentation Hypovolemic Shock • Tachycardia and tachypnea • Weak, thready pulses • Hypotension • Skin cool & clammy • Mental status changes • Decreased urine output: dark & concentrated . SHOCKPATHOPHYSIOLOGY
2. shock
Shockis a condition in which the cardiovascular system fails to perfuse tissues adequately
An impaired cardiac pump, circulatory system, and/or volume can lead to compromised blood flow to tissues
The SEP-1 core measure treatment bundle is based on recommendations from … Management of shock Types of shock . SHK 1 Objectives Define the major types of shock and principles of management Review fluid resuscitation, vasopressors and inotropes Address the balance of O2 supply and demand Discuss the differential diagnosis of oliguria. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. It requires prompt recognition, appropriate antibiotics, careful hemodynamic support, and control of the source of infection. Tachycardia & elevated shock index: the shock index (HR/SBP) is a useful way to understand tachycardia within the context of blood pressure. Bradycardia: cardiac output is directly proportional to heart rate. Pediatric burns mortality risk factors in a developing country’s tertiary burns intensive care unit.pdf. Shock. 24794582-Practice-Test-Medical-Surgical-Nursing-150-Items.pdf . Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. | PowerPoint PPT presentation | free to view m þnformed family or relative about patient condition. Management Of Shock 3 Ju Medicine PPT Presentation Summary : Septic shock- sepsis with hypotension despite adequate fluid resuscitation, and perfusion abnormalitites. MANAGEMENT OF SHOCK Definition of shock Shock is a state in which there is inadequate blood flow to the tissues to meet demand. Achieving these three important goals is the priority of shock management. Carousel Previous Carousel Next. The pathophysiology of CS is characterised by impaired cardiac output, SIRS, end-organ hypoperfusion and maladaptive compensatory mechanisms. Sepsis Intravenous Immunoglobulin. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Uploaded by. Etiology determines shock treatment. See our User Agreement and Privacy Policy. 71% of patients with culture proven septic shock are You can change your ad preferences anytime. The treatment of cardiogenic shock depends on its mechanism. The mechanisms that can result in shock are divided into 4 categories: (1) hypovolemic, (2) distributive, (3) cardiogenic, … Diagnosis and management of shock in the emergency department Emerg Med Pract. Shock. If you continue browsing the site, you agree to the use of cookies on this website. • Describe the presentation and diagnosis of patients with sepsis and SIRS. In the event of worsening signs with vascular collapse, use a strong cardiotonic: dopamine IV at a constant rate by syringe pump (see box): 3 to 10 micrograms/kg/minute. Management of Patients with Complications from Heart Disease Hinkle PPT Ch 29. Treatment Bundle. Approximately 30 to 45 percent of patients in septic shock, and 60 to 90 percent for those with cardiogenic shock, die within 1 month of presentation.