Shock
Z. Rozkydal


•Shock
•
•Acute disorder of circulatory system
•with low perfusion of oxygenated blood
•to the tissues- leads to tissue hypoxia
•
•
•Reversible
•
•Irreversible

•Shock
•
•Hypovolemic
•Cardiogenic
•Septic
•Anaphylactic
•Neurogenic

•Hypovolemic shock
•
•Blood loss, serious burns, vomiting, diarhoea,
•polyuria, bowel obstruction
•
•
•Cardiogenic
•
•Myocardial infarction, acute hearth failure,
•severe arythia

Septic shock
-endotoxins cause vasodilatation
Anaphylactic shock
- sever allergic reaction

Neurogenic shock
Head injuries
Spinal cord injuries
Intoxication
-extreme  dilatation of vessels  in CNS

•Signs
•
•Confusion, apathia, pale skin
•sweating, rapid pulse (120- 160 /min)
•rapid and shallow breathing
•thirst, unconsciousness
•
•BP under 90 mm Hg of systole
•

•Septic shock
•Fever, shivering
•
•Cardiogenic shock
•Dyspnoe, cyanosis,
•Full veins in the neck region
•
•Anaphylactic shock
•Nausea, vomiting, dyspnoe,
•tachycardia, unconsciousness
•
•

•First aid
•
•Stop bleeding
•Adrenalin in anaphylactic shock
•Raising of leggs
•Autotransfusion position
•Fowler position in cardiogenic shock
•
•Principles:
•rest, warm, fluids, alleviating of pain,
•transport