Good night, hopefully healthy friends always.
*hypovolemic shock is a decrease in intravascular volume of more than 15-20% so that a decrease in cardiac output resulting in microcirculation disorders and poor tissue perfusion.*
causative factor : a. Bleeding, trauma
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b. loss of plasma proteins and burns
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c. Loss of water and salt in severe diarrhea and vomiting, peritonitis, pancreatis
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## patofisiologhy
- Decreased blood pressure
- Decrease of TVS
- takikardia
- The pulse weakened
- Hyperventilation
- Awareness disorder
- Diuresis disorders
- oliguria anuria
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## Handling / fluid resuscitation
a. Rapid infusion of crystalloid solution. b. Adult 50 ml / min, can be up to 2 - 3 liters in 30 - 60 minutes. c. Children 20 ml / kg body weight / hour d. on heavy fluid loss, crystalloid + colloids
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e. loss of plasma, added colloid dose 15 - 20 ml / kg body weight / day
f. Blood loss:
- blooding <20% : kostikoroid + koloid
- blooding>20% : blood transfusion
g. Crystalloid and colloidal fluids
Profit :
Balanced electrolyte composition, no risk of allergy, does not affect hemostasis, resulting in diuretic, low cost
loss :
need 3-4 x the amount of bleeding, resulting in edema, hypothermia, working length of approximately 90 minutes? NaCl 0.9%: acidosis hyperchloremia.
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### colloidal fluid profit : remains in intravascular volume, needs equal to the amount of blood lost, minimal risk of odema, increased microvascular blood flow
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loss :
Fluid overload, disrupting hemostasis, affecting kidney function, anaphylactoid reaction, expensive.
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by :@bukuelah