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Shock
1.
Shock : Pathophysiology
Causes & Management Dr.Anil Haripriya Assistant Professor Surgery NHDC & RC
2.
3.
4.
5.
6.
Hormonal response Hypothalamus
Hyperglycemia Lypolysis Gluconeogenesis Glycogenolysis Cortisol ACTH CRH
7.
8.
9.
10.
11.
12.
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.
15.
16.
17.
18.
Septic shock Gram
–ve bacilli LPS+CD14 TNF IL-1 IL-6/IL-8 NO/PAF
19.
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24.
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