Shock

Shock : Pathophysiology Causes & Management Dr.Anil Haripriya Assistant Professor Surgery NHDC & RC

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Types of Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neuroendocrine response ,[object Object],[object Object]

Hormonal response Hypothalamus Hyperglycemia Lypolysis Gluconeogenesis Glycogenolysis Cortisol ACTH CRH

Hormonal response ,[object Object],[object Object],[object Object]

Cellular response ,[object Object],[object Object],[object Object],[object Object]

Hypovolemic shock ,[object Object],[object Object],[object Object],[object Object]

Hypovolemic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypovolemic shock Same + Hypotension Mental status deterioration Same + Tachycardia Tachypnoea Oliguria Postural -hypotension Cold extremities CRT Diaphoresis Anxiety Severe(>40%) Moderate(20-40%) Mild (<20%)

Cardiogenic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiogenic shock ,[object Object],[object Object],[object Object],[object Object]

Vasodilatory shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Septic shock ,[object Object],[object Object],[object Object]

Septic shock Gram –ve bacilli LPS+CD14 TNF IL-1 IL-6/IL-8 NO/PAF

Neurogenic shock ,[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypovolemic shock ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiogenic shock ,[object Object],[object Object],[object Object],[object Object],[object Object]

Neurogenic shock ,[object Object],[object Object],[object Object],[object Object]

Septic shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aims of resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object]

End Points of resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object]

Shock

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