外科急诊创伤（英文）避免休克连锁反应

《外科急诊创伤（英文）避免休克连锁反应》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、AvoidingtheTrainWreckofSHOCKKayKamish,RN,BSN,EMT-PTulsaLifeFlightOBJECTIVESDefinethefourtypesofSHOCKUnderstandthedifferenceinetiologiesRecognizetheprogressionofsymptomsUnderstandthedifferenceinapproachtotreatmentsTrainWreckofSHOCKSHOCKThinkoftheEngineastheHeart….TheTracksasthebloodvessel

2、sThecarsastheRBC’s….TheFreightastheOxygenandnutrients….SHOCKInadequatetissueperfusionInabilityofthebodytokeepupwiththetissuedemandforoxygenandnutrients.TrainWreckofSHOCKTrainWreckofShockFOCUSofINTERVENTION:IdentifythetypeofShockInitiatethepropercareSHOCKTYPESofSHOCKHypovolemicTrainWreckof

3、SHOCKCardiogenicDistributiveObstructiveTrainWreckofSHOCKHYPOVOLIEMICSHOCK*Hemorrhage*Vomiting*Diarrhea*ThirdSpacing*DiuresisSHOCK--HypovolemicLowvolume--poorcarryingcapacityofthecells--notenough‘freight’CARDIOGENICSHOCKOccurswhendamagedorunhealthyheartmuscleisnolongerabletopumpeffectively

4、=HeartFailure*MyocardialInfarctionTrainWreckofSHOCK*CardiacArrest*Dysrhythmias*CardiomyopathiesSHOCK--CardiogenicHeartFailure--anoldandtiredEngineSHOCK--CardiogenicCardiogenicShock-theheart(engine)nolongerfunctionseffectivelyDISTRIBUTIVESHOCKNEUROGENICLossofnormalsympatheticvasoconstricti

5、on*spinalcordinjury*severepain*vasomotorcenterdepressiond/tdrugODTrainWreckofSHOCKDISTRIBUTIVESHOCKTrainWreckofSHOCKVASOGENICDiminishedarterialresistanceandincreasedvenouscapacitance*Duetoareleaseofvasodilatingsubstancefromthebodyitself*AnaphylacticShock*SepticShockSHOCK--DistributiveVaso

6、dilation--toomanytracks/bloodvesselstofillOBSTRUCTIVESHOCKTrainWreckofSHOCK*ArterialStenosis*PulmonaryEmbolism*PulmonaryHypertension*CardiacTamponade*TensionPneumothoraxTrainWreckofSHOCKReview:FourTypesofSHOCKHYPOVOLEMICVolumeLossCARDIOGENICHeartFailureDISTRIBUTIVEVasodilationOBSTRUCTIVES

7、HOCKYouhavetheengine(theheart)butnocars(volume)andtoomanytrackstofillup(excessvenouscapacitance).TrainWreckofShockSTAGESofSHOCK*Whateverthetypeofshock,thesignsandsymptomsaretheresultofdiminishedbloodflow*SymptomsfollowapredictablepathYOURGOAL:Identifythetypeofshocka