Описание презентации по отдельным слайдам:
Project work in English on the topic <Shock state>.
Content Shock Reasons of emergence of shock Shock symptoms Classification of shock In pathogenesis Monitoring and evaluation of the severity of shock A small control program Treatment of shock Shock bodies <Shock lung> <Shock kidney> Traumatic shock The causes and mechanisms of traumatic shoka Symptoms of shock First-aid
Shock (from the English. Shock - shock, shock) - a pathological process that develops in response to stimuli, and is accompanied by extreme progressive violation of the vital functions of the nervous system, circulatory, respiratory, metabolic and other functions. In fact, this failure of compensatory reactions in response to injury. 1
Reasons of emergence of shock depletion of vasomotor center; nervous breakdowns; toxemia; dysfunction of the endocrine glands; reduction in circulating blood volume (CBV); capillary stasis in violation of the vascular permeability.
Shock symptoms reduction in blood pressure and tachycardia (when torpid phase); restlessness or blackout respiratory failure; reducing the amount of urine; cold, clammy skin with pale or cyanotic color of the marble.
Classification of shock hypovolemic; Cardiogenic; redistributive (distribution); obstructive.
In pathogenesis This classification divides the shock to: hypovolemic; Cardiogenic; traumatic; infectious-toxic; septic; anaphylactic; neurogenic; Combination (combines elements of various shocks).
Monitoring and evaluation of the severity of shock Of great importance is the control of blood pressure and hemodynamic study.
A small control program 1. arterial pressure; 2. the central venous pressure at a kateterizatsiya of the central vein; 3. frequency of breath; 4. hourly диурез; 5. a blood-groove assessment in skin (skin color, body temperature, filling of capillaries by blood).
A small control program Specialized software flow control is carried out in shock resuscitation and intensive care.
Treatment of shock moments: 1. Treatment of shock develops of several elimination of the reasons which have caused development of shock; 2. compensation of deficiency of volume of circulating blood, with care at cardiogenic shock; 3. Oksigenoterapiya (oxygen inhalation); 4. acidosis therapy; 5. therapy by vegetotropny preparations on purpose to cause positive inotropny effect
Shock bodies Recently often the term of «shock body» («a shock lung» and «a shock kidney») began to be used. Thus means that influence of a shock irritant breaks function of these bodies, and further violations of a condition of an organism of the patient are closely connected with changes in «shock bodies».
<Shock lung> This term was first introduced into practice (1967) in describing the syndrome ofprogressive acute respiratory failure.
<Shock kidney> The concept of "shock kidney" reflects the acute renal failure. In the pathogenesis leading role played by the fact that when a shock occurs compensatory shunting of blood flow in the veins of the direct pyramid with a sharp decline in hemodynamics in the cortical layerof the kidneys. This is confirmed by the results of modern pathophysiological studies.
Traumatic shock Traumatic shock — heavy, menacing to life of the patient, the pathological condition arising at heavy traumas, such as fractures of bones of a basin, severe gunshot wounds, a craniocereberal trauma, an injury of a stomach with an internal injury, operations, big loss of blood. On патогенезу traumatic shock corresponds to the gipovolemichesky. The major factors causing this type of shock — strong painful irritation and loss of large volumes of blood.
The causes and mechanisms of traumatic shoka By strong pain, and neuro-psychological stress Outcome of severe shock, no treatment is usually the agony and death.
Symptoms of shock Traumatic shock is usually held in two phases of its development, the so-called "erectile" phase of shock and "torpid" phase Erectile phase of shock The victim initially often feel intense pain. It is often aggressive. Resists the surveyattempts to treat. Torpid phase of shock He slowed down, listless, apathetic, drowsy, may lose consciousness.
First-aid First aid is necessary to know its basic methodology and implement the following seriesof actions: • terminate at the victim striking factor (to stop bleeding, to fix the fracture, etc.); • wrap up in a blanket (only with the presence of consciousness), put in a horizontal position with a slightly bowed head down (risk of sticky tongue);
First-aid You can not cover anything a person unconscious. Warming the body will lead to increased blood circulation, increase blood circulation, it will be missed for the supply ofvital organs, and the victim may die because of incorrect care. • In the presence of thirst - to drink the water, while sure there are no injuries of the abdomen. • deliver the injured to hospital.
List of references. http://ru.wikipedia.org/wiki/%D0%A8%D0%BE%D0%BA http://ru.wikipedia.org/wiki/%D0%A2%D1%80%D0%B0%D0%B2%D0%BC%D0%B0%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B9_%D1%88%D0%BE%D0%BA http://spokoino.ru/articles/pervaia_pomoch/shokovoe_sostoyanie/ http://www.megamedportal.ru/article/shokovoe_sostojanie.html