(精编)【高血压英文教学精品课件】 Emergency management in cardiology.pptVIP

Cardiac tamponade Shock -- ManagementUse of vasopressors Dopamine Norepinephrine Dobutamine Epinephrine (anaphylactic shock) Dopexamine (dopa 1,2, and beta 2) Suspected shock SHOCK Hypoperfusion Hypotension Hypovolemic Hyperdynamic Distributive Cardiogenic Obstructive JVP CVP Low High Cardiogenic AMI CM AV block AR Obstructive PE Tamponade Myxoma Clinical of CHF Crackle Gallop Edema Hyperdynamic Sepsis SIRS Pancreatitis Cirrhosis Thyroid strom Distributive Anaphylaxis Narcotics Drugs Hypovolemic GI bleed Trauma Burn DI DKA Cardiac output Fever Y N CO ? Fever CO ? Syncope Syncope Definition Collapse,Blackout A sudden, transient loss of consciousness and postural tone, with spontaneous recovery Syncope Diagnostic Objectives Distinguish ‘True’ Syncope from other ‘Loss of Consciousness’ spells: Seizures Psychiatric disturbances Establish the cause of syncope with sufficient certainty to: Assess prognosis confidently Initiate effective preventive treatment Syncope Basic Diagnostic Steps Detailed History Physical Document details of events Assess frequency, severity Obtain careful family history Heart disease present? Physical exam ECG: long QT, WPW, conduction system disease Echo: LV function, valve status, HOCM Follow a diagnostic plan... Syncope Evaluation and Differential Diagnosis History – What to Look for Complete Description From patient and observers Type of Onset Duration of Attacks Posture Associated Symptoms Sequelae Sudden cardiac arrest What Is SCA? Electrical system in heart malfunctions Heart unexpectedly, abruptly stops beating Often caused by an abnormal heart rhythm called ventricular fibrillation (VF) VF accounts for half of all cardiac deaths Rapid, chaotic heartbeat Lower heart chambers, or ventricles, spasm Heart functioning stops Lack of oxygen in body, brain is dead Management Cardiac life support Airway Breathing Circulation Defibrillation Get rid of cause Metabolic: electrolyte, drugs Organic: structural heart (AC