Approach to shock .pdf

After this presentation attendees are expected to:
1. Define and understand the physiological determinants of shock
2. Know the epidemiology of shock is and the causes of shock
3. Understand the pathophysiology of shock
4. Have a good understanding on how to diagnose and manage shock

1. APPROACH TO
SHOCK

2. Objectives of the presentation
After this presentation attendees are expected to:
1.Define and understand the physiological determinants of shock
2.Know the epidemiology of shock is and the causes of shock
3.Understand thepathophysiologyof shock
4.Have a good understanding on how to diagnose and manage shock

3. Tableofcontents
Definition and physiological
determinants
03
Epidemiology and Etiology
Pathophysiology
Clinical manifestation and types of
shock
05
Diagnosis
06
Laboratory features and
Investigations
07
Management

4. DEFINITION

5. PHYSIOLOGIC DETERMINANTS

6. Physiologic Determinants cont’d

7. Physiologic Determinants cont’d

8. Physiologic Determinants cont’d

9. Epidemiology

10. Epidemiology cont’d

11. Pathophysiology

12. Compensatory Mechanisms

13. Compensatory Mechanisms cont’d

14. Types of Shock

15. Hypovolemic shock

16. Distributive shock
•Sepsis (most common cause)
•Hypoxia
•Poisoning
•Anaphylaxis and Spinal cord injury (loss of sympathetic venous tone)

17. Obstructive shock

18. Cardiogenic shock

19. STAGES OF SHOCK

20. STAGES OF SHOCK Cont’d

21. STAGES OF SHOCK Cont’d

22. CLINICALMANIFESTATION

23. CLINICAL MANIFESTATION cont’d

24. COMMONCLINICALFEATURES

25. Hypovolemic shock

26. Cardiogenic shock

27. Obstructive shock
Distributive shock

28. EVALUATION

29. Diagnosis
History

30. DIAGNOSIS cont’d

31. DIAGNOSIS cont’d

32. PHYSICAL EXAMINATION

33. Physical Examination Cont’d

34. PHYSICAL EXMINATIONcont’d

35. PHYSICAL EXAMINATIONcont’d

36. LABORATORY FINDINGS

37. LABORATORY FINDINGS cont’d

38. ADDITONAL LAB STUDIES

39. ADDITONAL LAB STUDIES cont’d

40. MANAGEMENT

41. CARDIOGENIC SHOCK

42. MANAGEMENT cont’d

43. OBSTRUCTIVE SHOCK

44. MANAGEMENT cont’d

45. ANAPHYLACTIC SHOCK

46. REFRENCES

47. Thank you!