JaypeeDigital

Speciality

TESTIMONIALS

NEWSLETTERS

Subscribe to be the first to know about Best Deals and Exclusive Offers!

EXPORT CITATION

Chapter-13 Brief Protocol for Managing Shock

BOOK TITLE: IAP Textbook of Pediatric ICU Protocols

Author
1. Udani Soonu
ISBN
9789350903704
DOI
10.5005/jp/books/11878_13
Edition
2/e
Publishing Year
2013
Pages
6
Author Affiliations
1. PD Hinduja Hospital, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Center, Mumbai, e-mail: dr_sudani@hindujahospital.com, PD Hinduja National Hospital and Medical Research Centre, Mumbai; Grand Medical College, Mumbai, India, Hinduja Hospital, Mumbai, Maharashtra, India, PD Hinduja Hospital and Medical Research Center, Mumbai, Maharashtra, India, Hinduja Hospital, Mumbai, Maharashtra, PD Hinduja National Hospital and Medical Research Center, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India, SRCC Children’s Hospital Managed by Narayana Health, Mumbai, Maharashtra, India, SRCC Children's Hospital, Mumbai, Maharashtra, India, SRCC Children’s Hospital (Managed by Narayana Health), Mumbai, Maharashtra, India, Critical Care and Emergency Services, SRCC Children’s Hospital, Narayana Health, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra
Chapter keywords
Protocol for Managing Shock, Endotracheal intubation, Adrenal insufficiency, Hyperthermia, Intraosseus, Vasopressor

Abstract

Shock can be defined by clinical variables, hemodynamic variables, oxygen utilization variables, and/or cellular variables; however, the review committee of 2007 chooses to define septic shock by clinical, hemodynamic, and oxygen utilization variables only. Shock should be clinically diagnosed before hypotension occurs by clinical signs such as hyperthermia, altered mental status, tachycardia, and others which are explained in the chapter. Different steps involved are discussed. Initial step includes immediate identification and action against it. There should be no time wasted in gaining access. Optimizing fluids are given in first 15 minutes. Ventilation should be considered when patient’s condition is not stabilized. Steroids are administered if the child is at the risk of absolute adrenal insufficiency and remains in shock even after EPI infusion; also Endotracheal Intubation and Ventilation with RSI and Lung Protective Strategies are considered.

Related Books

3988 eBooks
11920 Videos
80651 MCQs
91 eJournals

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved