Shock is more common in clinical work, belonging to the high-frequency test points in the interview examination content. Although most of the students know a little bit about the treatment of shock, but in the oral treatment process may not be organized or part of the contents of the problem of omission. Here we look at the principles of treatment of shock.
Treatment of shock focuses on restoring perfusion and providing adequate oxygen to the tissues to prevent the development of multiple organ dysfunction syndrome.
1. Simple and effective treatment
(1) Adopt the position of head and trunk elevation and lower limb elevation.
(2) Oxygen intake, early nasal tube or mask oxygen.
(3) Open venous access and match blood type.
2. Without delaying treatment, request higher support for further resuscitation.
3. Complex and more effective treatment
(1) Actively search for the cause of shock.
(2) fluid resuscitation: depending on the patient's condition, the nature of the loss, etc. to take the appropriate type, amount and speed of fluid.
(3) Transfusion therapy: give blood transfusion and transfusion of blood products.
(4) vasoactive drugs: dopamine, norepinephrine, atropine and other drugs can be given.
(5) Correct acidosis.
(6) Adrenocorticotropic hormone: hydrocortisone can be given for refractory hemorrhagic shock for which infusion therapy is ineffective.
(7) Active treatment of shock can be accompanied by emergency surgery if necessary.
4. Condition monitoring
Close condition monitoring, timely detection of changes in condition and treatment.
5. Humanistic care
Comfort patients and their families to eliminate their nervousness and anxiety, and encourage patients to actively cooperate with the treatment and early recovery.
The above is a general description of the principles of treatment of shock, the actual process of the examination may also be asked to deal with specific types of shock, such as the treatment of anaphylaxis, treatment of infectious shock, etc., you only need to be in the above content on the basis of the increase in the cause of the treatment of the account can be done, so that you can do one to three, through a topic to master the answer to this kind of questions.
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