Shock may be defined as a general depression of all functions of the body. Shock may be due to a failure of function of the peripheral system. In other words failure of function of the blood vessels throughout the body, but not of the heart itself.
Shock is caused due to severe head injury, chest injury, hemorrhage, electrocution, poisoning, abdominal injury, disturbances of cardiovascular functions, etc. Certain toxins or foreign proteins can produce anaphylactic shock. An over dosage of insulin will produce shock.
Feeling of marked weakness, faintness, sometimes dizziness and often nausea. The skin will be first pale in colour and then becomes ash in colour. It is cold and becomes clammy from perspiration, the pupils are dilated and the eyes have a glossy or vacant stare, the heart sounds are faint and distant. Blood pressure gradually drops. The pulse is irregular and respiration becomes shallow and rapid.
- If there is any hemorrhage, it should be arrested immediately. The patient’s body should be kept warm. Warm blankets or any warm garments should be placed under and over the patient.
- Hot drinks such as coffee, tea or milk may be given if the patient is able to swallow. Oral fluids should not be given if the patient is unconscious. Aspiration pneumonia may result.
- The position of the patient is adjusted in such a way that the body and lower extremities should be elevated 12 to 18 inches above the head in order to improve the blood circulation to the heart and brain.
- If there is any severe pain that also increase the shock, the pain has to be reduced by giving injection of potent analgesics. The splinting or immobilisation of injured parts will reduce pain.
- In case of greater blood loss, glucose and salt solution has to be given immediately for temporary improvement to replace the blood volume. Subsequently the patient should be shifted to the hospital immediately for blood transfusion and other intravenous fluid administration is compulsorily done to the patient.
- The patient must be kept under observation continuously.
OUTLOOK FOR SHOCK
Proper treatment at the right time is must required for best treating this medical condition, otherwise the person’s life would be at risk.
- The condition called septic shock in that case, the mortality rate is higher and it’s consider as an severe condition, in this immediate attention of treatment with proper medicine administration, intravenous fluids given on prompt time, all these done when on a immediate attention, then the life of the patient can be saved.
- Cardiogenic shock is a very worse condition, in fact when prompt treatment given at timely basis means also the patient heart function is affected and finally leads to difficulty in surviving.
- Spinal shock is considered as an complicated condition, since the spinal cord is responsible for so many bodily functions, when this part gets affected then it too becomes risky, but doctors from worldwide finding out effective treatments in treating this condition.
- Hypovolemic shock and anaphylactic shock are the two conditions that effectively get cured well by giving treatment at earlier stages.
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