Symptoms of painful shock

Update Date: 2021-06-29 Source: Network

summary

Shock is a complex syndrome of systemic microcirculation dysfunction and serious disturbance of vital organs due to the sharp decrease of effective circulating blood volume, extensive, continuous and significant reduction of tissue blood perfusion after the invasion of strong pathogenic factors. In the symptom of painful shock? Let's talk about it

Symptoms of painful shock

In the case of primary symptoms and signs, mild signs of excitement appear. Ruyi is still clear, but he is irritable and anxious, nervous, pale complexion and skin, mild cyanosis of lip nail bed, accelerated heart rate, increased respiratory rate, cold sweat, fine pulse, sudden or slight drop of blood pressure, even normal or slightly high, reduction of pulse pressure, and reduction of urine volume.

The patient is irritable, unconsciousness, shallow breathing, decreased temperature of limbs, low heart sound, weak pulse count, progressive decrease of blood pressure, which can be less than 50 mmHg or undetectable, pulse pressure less than 20 mmHg, wet and cold skin, little or no urine.

Acute respiratory failure is characterized by progressive dyspnea, progressive hypoxemia, shortness of breath, cyanosis, pulmonary edema and decreased pulmonary compliance.

matters needing attention

Usually take the supine position, if necessary take the head and trunk to raise 20 °～ thirty °、 Lower limb elevation 15 °～ twenty °， In order to facilitate breathing and venous return of lower limbs, and ensure cerebral perfusion pressure at the same time; Keep the respiratory tract unobstructed, and use nasal catheter or mask method for oxygen inhalation. If necessary, establish artificial airway and ventilator for auxiliary ventilation; Maintain a normal temperature, keep warm when hypothermia, and try to cool when high temperature; Venous access should be established as soon as possible, and drugs should be used to maintain blood pressure. Try to keep the patient quiet, avoid moving, use small doses of analgesic, sedative, but to prevent respiratory and circulatory inhibition.