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Anil Haripriya
Anil Haripriya

EMERGENCY MANAGEMENT

Health & MedicineTechnology
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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]
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 ,[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]

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Shock

  • 1. Shock : Pathophysiology Causes & Management Dr.Anil Haripriya Assistant Professor Surgery NHDC & RC
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  • 6. Hormonal response Hypothalamus Hyperglycemia Lypolysis Gluconeogenesis Glycogenolysis Cortisol ACTH CRH
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  • 13. 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%)
  • 14.
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  • 18. Septic shock Gram –ve bacilli LPS+CD14 TNF IL-1 IL-6/IL-8 NO/PAF
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