Page 31 - G43 ASSIGNMENT
P. 31

Hypovolemic shock



          Essam Hesham Khamis                                                                                ID:1310




        Hypovolemic shock: results when you lose more than 20 percent (one-fifth) of your body’s blood or fluid
        supply.




        Causes:
            •  It is caused by a sudden decrease in the intravascular blood volume relative to the vascular capacity.
            •  -Broken bones around your hips.
            •  -Cuts on your head and neck
            •  -Damage to organs in your belly, including your spleen, liver, and kidneys, because of a car accident or
               a bad fall.
            •  -A tear in your heart or a large blood vessel, or a weakened spot in a large blood vessel that could burst.
            •  -Problems with your digestive tract, such as ulcers.


        Specific manifestations

            •  *tissue hypoxia
            •  *increasing fatigue
            •  sever epigastric pain
            •  *vomiting
            •  The abdominal dilatation of the intestine with fluid diffuse

        .Treatments


        These include :
            •  -blood plasma transfusion
            •  -platelet transfusion
            •  -red blood cell transfusion
            •  -intravenous crystalloids



        References

            •   -Hypovolemic shock
            •   FM Shamji, TRJ Todd
            •   Critical care clinics 1 (3), 609-629, 1985
            •   Elke Rudloff, Rebecca Kirby
            •   Veterinary Clinics of North America: Small Animal Practice 24 (6), 1015-1039, 1994
            •   -Alan I Faden, John W Holaday
           •  Science 205 (4403), 317-318, 1979

                                                             31
   26   27   28   29   30   31   32   33   34   35   36