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Shock, Neurogenic, Sepsis, Anaphylaxis - Coggle Diagram
Shock
Anaphylactic Shock
Allergen
Blood
Tissure
Drugs
Environmental
4 Stages of shock
Stage 1 : Initial stage
Stage 2 : Compensatory stage
Stage 3 : Progressive stage
Stage 4 : Irreversible stage
Clinical examination
Level of consciousness ↓
Skin : capilary refill > 4 sec
Vital signs : BP 90 mmGg,ลดลงจากเดิม > 30 mm Hg
O2 sat ↓
Complication of shock
Adult Respiratory Distress Syndrome (ARDS)
Acute Renal Failure (ARF)
Disseminated Intravascular Coagulation (DIC)
Mulitiple organ failure (MOF)
Types of shock
Hypovolemic (Fluid)
Cardiogenic (Output)
Vasogenic (Peripheral Vascular Resistance)
Problem
Pump problems
Cardiac failure
Tension pneumothorax
Myocardial contusion
Volume problems
Hemorrhage
Dehydration
Resistance problems
Sepsis
2.Neurogenic
Anaphylactic
quick SOFA : aSOFA
Altered mental status = GC score < 15
Systolic blood pressure (SBP) ≤ 100 mm Hg
Respiratory rate ≥ 22 breaths/min
Neurogenic Shock
Warm dry skin
Flaccid paralysis
Relative bradycardia
Neurogenic
Sepsis
Anaphylaxis