BIMS 201 Lecture Notes - Lecture 10: Hypovolemia, Cardiogenic Shock, Syndrome Of Inappropriate Antidiuretic Hormone Secretion
7 Jan 2018
School
Department
Course
Professor
Document Summary
When our body loss the: i)whole blood (due to fracture of the long bone,ruptured of pelvic venous plexure,intra-abdominal injury,aph,pph,gi bleed ) ii)plasma(due to burn) iii)extracellular fluid(due to vomiting,diarrhea) Cardiogenic shock treat with inotrope except right ventricular infarction (give fluid) Cvp: will reduce in cardiogenic shock,but increase in hypovolemic shock. In case of dehydration until reduce urine output,1st approach is to rehydrate them. 5-10% will have regain urine outputthen only give furesemide . Remaining will develop the aki despite of those approach. Dka and honk some differences to be remember: 1)dka more common in younger age group,honk more in older age group. 2)onset of dka is few days,honk normally will be more than 1 week. 3)dka patients will present to hospital earlier unlike those honk patients,which will present late to hospital and more ill looking. When these patients(dka and honk) present to hospital,if in doubt: 1)do finger prick to access blood glucose-identify any hypo or hyperglycemic.
