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بعض اسباب الصدمة قلبية المنشأ


بعض اسباب الصدمة قلبية المنشأ

بعض اسباب الصدمة قلبية المنشأ

by


مشكور.

DAM's picture
DAM


شكرا
سؤال محيرني:
الصدمة العكوسة و غير العكوسة شكلين منفصلين
ولا مراحل متتالية؟
و هنن غير المعاوضة و غير المعاوضة ,ماهيك؟؟

.b's picture
.b
بعد التخرج

Quote:
الصدمة العكوسة و غير العكوسة

if u mean reversable and irreversable shock then these are stages of hypovolemic shock not cardiogenic shock

امرأة لا تتكرر's picture
امرأة لا تتكرر
السنة الخامسة

Quote:
if u mean reversable and irreversable shock then these are stages of hypovolemic shock not cardiogenic shock

المهم أنهن مراحل
لأنو عتبك على بعض المصادر اللي علمتنا ياهن أشكال الصدمة
طيب و المعاوضة وغير المعاوضة(compensatory and incompensatory)؟

.b's picture
.b
بعد التخرج

Okay

let me form wat i said in other words :

Cardiogenic shock by its self doesnt all the time lead to stages of hypovolemic shock

but if a heart disease for ex. leads to massive reduction in COP it can lead to hypovolemia

maybe even an anaphylactic shock ( lyk histamine of ex. ) can lead to a hypovolemic shock in case it opens the pre capillary sphincters and diminshes the blood from the vessels leading to loss of effective blood volume --- hypovolemia

even a syndrome of septic shock - i mean 1. systemic vasodailation , 2. diminshed COP , 3. widespread endothelial injury can also lead to hypovolemia via these 3 mechanisms

wat is the 1st sentc in this pic ?

decreased perfusion = decreased blood volume = hypovolemia

weither actual loss of volume lyk bleeding or only decreased effective volume lyk for ex. due to peripheral VD in syndrome of septic shock

some for ex. say that a cardiogenic shock is a hypovolemic shock + heart disease

BUT WHEN I SAY REVERSALBE ( COMPENSATORY ) OR IRREVERSALBE ( INCOMPENSATORY ) THEN THIS IS ONLY HYPOVOLEMIC STAGES

--------

its not complicated at all

all u need to remember : loss of perfusion and decreased effective COP

again , decreased effective COP can b due to for ex. heart failure -- decreased COP , or maybe excessive bleeding -- decreased VR ( venous return ) --- decreased COP

its a network

امرأة لا تتكرر's picture
امرأة لا تتكرر
السنة الخامسة

Quote:
BUT WHEN I SAY REVERSALBE ( COMPENSATORY ) OR IRREVERSALBE ( INCOMPENSATORY ) THEN THIS IS ONLY HYPOVOLEMIC STAGES

هي الجملة اللي عم دور عليها
شكرا

.b's picture
.b
بعد التخرج
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