hypovolaemic shock

Good night, hopefully healthy friends always.

*hypovolemic shock is a decrease in intravascular volume of more than 15-20% so that a decrease in cardiac output resulting in microcirculation disorders and poor tissue perfusion.*

causative factor : a. Bleeding, trauma

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b. loss of plasma proteins and burns

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c. Loss of water and salt in severe diarrhea and vomiting, peritonitis, pancreatis

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## patofisiologhy

Decreased blood pressure
Decrease of TVS
takikardia
The pulse weakened
Hyperventilation
Awareness disorder
Diuresis disorders
oliguria anuria

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## Handling / fluid resuscitation

a. Rapid infusion of crystalloid solution. b. Adult 50 ml / min, can be up to 2 - 3 liters in 30 - 60 minutes. c. Children 20 ml / kg body weight / hour d. on heavy fluid loss, crystalloid + colloids

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e. loss of plasma, added colloid dose 15 - 20 ml / kg body weight / day f. Blood loss: - blooding <20% : kostikoroid + koloid - blooding>20% : blood transfusion g. Crystalloid and colloidal fluids Profit : Balanced electrolyte composition, no risk of allergy, does not affect hemostasis, resulting in diuretic, low cost loss : need 3-4 x the amount of bleeding, resulting in edema, hypothermia, working length of approximately 90 minutes? NaCl 0.9%: acidosis hyperchloremia.

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### colloidal fluid profit : remains in intravascular volume, needs equal to the amount of blood lost, minimal risk of odema, increased microvascular blood flow

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