(精编)Shock教学课件.pptVIP

All secondary to body’s attempt to compensate and increase cardiac output and maintain perfusion to vital organs (brain heart kidneys). Tachycardia alone (secondary to drecreased stroke volume) usually first sign. Increased endogenous catecholamines cause vasoconstriction causing delayed cap refill. Skin can also be warm and dry. As compensatory mechanisms cannot meet demands uncompensated shock ensues.. see signs related to tissue ischemia and release of mediators affecting microcircluation Rales, gallop, enlarged liver, jugular venous distension Severe shock should be considered first…som