OBSTETRIC HEMORRHAGIC SHOCK BY:- PUNEET INDORA B.SC NURSING 4 th YEAR TO :-SNEHLATA PRASHAR (LECTURER)
Shock is the state of not enough blood flow to the tissues of the body as a result of problems with the circulatory system. Initial symptoms may include weakness, fast heart rate, fast breathing, sweating, anxiety, and increased thirst
Compensatory Mechanisms In Hemorrhagic Shock 1. :-Plasma Refill 2. :-RAS and HPAA – Renin convert angiotensinogen to angiotensin 1 which is than Metabolized in the liver to angiotensin 2, w hich is a potent vasoconstrictor that Stimulate aldosteron secretion , along w ith the pitutary release of ADH, promoting Sodium and ater retension.
3. :- Norepinephirn and epinephrine are locally and systematically released. Catecholamine mediated effects are inotropic (force of contraction ) and chronotropic (rate of contraction) resulting in incresed cardiac output. They also increse the systemic vascular resistance leading to an incresed diastolic pressure and therefor narrow pulse pressureVasoconstriction enhances venous return which also increase cardiac output And stroke volume.