Management of shock may include securing the airway via intubation if
necessary to decrease the work of breathing and for guarding against
respiratory arrest. Oxygen supplementation, intravenous fluids, passive leg
raising should be started and blood transfusions added if blood loss is severe.
It is important to keep the person warm as well as adequately manage pain and
anxiety as these can increase oxygen consumption.
necessary to decrease the work of breathing and for guarding against
respiratory arrest. Oxygen supplementation, intravenous fluids, passive leg
raising should be started and blood transfusions added if blood loss is severe.
It is important to keep the person warm as well as adequately manage pain and
anxiety as these can increase oxygen consumption.
Aggressive intravenous fluids are recommended in most types of shock
which is usually instituted as the person is being further evaluated. If the
person remains in shock after initial resuscitation packed red blood cells
should be administered to keep the haemoglobin greater than 100 gms/l.
which is usually instituted as the person is being further evaluated. If the
person remains in shock after initial resuscitation packed red blood cells
should be administered to keep the haemoglobin greater than 100 gms/l.
Vasopressors may be used if blood pressure does not improve with fluids.
Vasopressors have not been found to improve outcomes when used for hemorrhagic
shock from trauma but may be of use in neurogenic shock (Olaussen,
2014).
Vasopressors have not been found to improve outcomes when used for hemorrhagic
shock from trauma but may be of use in neurogenic shock (Olaussen,
2014).
Reference
Olaussen, B. (2014). Uterine emergencies: atony,
inversion, and rupture. Obstet Gynecol Clin
North Am 26:419-434.
inversion, and rupture. Obstet Gynecol Clin
North Am 26:419-434.
