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    An Assignment On Surgery subject:-SHOCK (Definition, Classification and Pathophysiology of Shock)

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    manish soni
    This document discusses shock, defining it as a clinical condition characterized by decreased blood flow to vital organs due to an imbalance between vascular capacity and circulating blood volume. It classifies shock into four main types - hypovolemic, cardiogenic, shock characterized by peripheral pooling of blood, and septic shock. The document provides a flow diagram outlining the pathophysiology of shock, showing how the condition progresses from its initial causes through vasodilation, decreased circulating volume, increased sympathetic activity, and ultimately tissue hypoxia and cellular death if not corrected.

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    An Assignment On Surgery subject:-SHOCK (Definition, Classification and Pathophysiology of Shock)

    Uploaded by

    manish soni
    106 views8 pages
    This document discusses shock, defining it as a clinical condition characterized by decreased blood flow to vital organs due to an imbalance between vascular capacity and circulating blood volume. It classifies shock into four main types - hypovolemic, cardiogenic, shock characterized by peripheral pooling of blood, and septic shock. The document provides a flow diagram outlining the pathophysiology of shock, showing how the condition progresses from its initial causes through vasodilation, decreased circulating volume, increased sympathetic activity, and ultimately tissue hypoxia and cellular death if not corrected.

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    shock description

    Original Title

    Shock

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    This document discusses shock, defining it as a clinical condition characterized by decreased blood flow to vital organs due to an imbalance between vascular capacity and circulating blood volume. It classifies shock into four main types - hypovolemic, cardiogenic, shock characterized by peripheral pooling of blood, and septic shock. The document provides a flow diagram outlining the pathophysiology of shock, showing how the condition progresses from its initial causes through vasodilation, decreased circulating volume, increased sympathetic activity, and ultimately tissue hypoxia and cellular death if not corrected.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    106 views8 pages

    An Assignment On Surgery subject:-SHOCK (Definition, Classification and Pathophysiology of Shock)

    Uploaded by

    manish soni
    This document discusses shock, defining it as a clinical condition characterized by decreased blood flow to vital organs due to an imbalance between vascular capacity and circulating blood volume. It classifies shock into four main types - hypovolemic, cardiogenic, shock characterized by peripheral pooling of blood, and septic shock. The document provides a flow diagram outlining the pathophysiology of shock, showing how the condition progresses from its initial causes through vasodilation, decreased circulating volume, increased sympathetic activity, and ultimately tissue hypoxia and cellular death if not corrected.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 8

    An assignment

    on surgery
    subject :-SHOCK
    (definition, classification and
    pathophysiology of shock)
    Submitted to
    Dr.p.v.parikh ass.
    Professor dept.of vety
    Surgery.AAU.ANAND
    Definition of shock
    Shock is clinical condition characterized by
    decrease blood flow to vital organ due to
    imbalance between size of vascular bed
    and effective circulating blood volume and
    the inability of the body tissues to
    metabolize nutrient normally
    _ the decrease blood flow of vital organ (like
    kidney, liver etc ) is caused by pooling and
    stagnation of blood elsewhere in
    circulation .
    Classification of shock
    • Modern classification of shock in to 4 type
    based on etiology and approach to
    treatments.
    1. HYPOVOLEMIC SHOCK
    due to 1.blood loss
    2.plasma loss and
    3.water loss
    2.CARDIOGENIC SHOCK
    due to 1.myocardial infarction
    2.arrythmia
    3.temponade
    4.late hypovolemia
    5.epidural and general anesthesia
    6.pulmonary embolism
    Continued to….
    3 . SHOCK CHARACTERIZED BY PERIPHERAL
    POOLLING OF BLOOD DUE TO
    1.loss of tone in resistants vessels
    2.trapping of blood in capacitance vessels as may
    happen in endotoxin shock
    4. SEPTIC SHOCK
    failure of cells of vital organs to perform normal
    metabolic function despite availability of oxygen.
    ANOTHER TYPE OF CLASSIFICATION

    A. PRIMARY SHOCK –which develops


    immediately after injury.
    B. SECONDARY SHOCK –which develops
    more time after injury.
    Pathophysiology of Shock
    Flow diagram of pathophysiology of Shock
    Hypovolaemic Cardiogenic Endotoxic
    shock Shock Shock
    ↓se venous return ↓se cardiac output G –ve microbes
    vasodilation
    ↓se effective circulating ↓se arterial pressure Endotoxin
    volume
    Neurological Vasoactive substance
    shock
    ↑se mechanoreceptor activity
    negetive feed back
    ↑se sympathetic activity mechanism
    ↑se aldosterone
    ↑se antidiuretic hormone
    ↑se h.rate
    ↑se water conservation
    ↑se B.P. ↓se capillary pressure

    ↑se effective circulating volume tissue fluid uptake


    Relaxation of precapilary sphincters
    &
    continue post capillary vasoconstriction

    ↑se Acid metabolites poolling of blood

    capillary damage

    Positive feed back fluid loss ↑se blood viscosity


    mechanism
    ↓se effective circulating volume low flow state

    ↑se catacholamines

    pathogenic shunt
    Tissue hypoxia
    Cellular death

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