How to diagnose that a woman has gone in to a state of
shock?? What are the Clinical Picture of
Shock??
Low blood pressure.
Rapid weak (thready) pulse.
Pallor.
Cold clammy sweat.
Cyanosis of the fingers.
Air hunger.
Dimness of vision.
Restlessness.
Oliguria or anuria.
HAEMORRHAGIC SHOCK
Classification of Haemorrhage
|
Class
|
Blood Loss%
|
Clinical Picture
|
|
I
|
15%
|
Normal pulse & blood pressure.
Tilt test +ve . |
|
II
|
20-25%
|
Tachycardia.
Tachypnoea. Pulse pressure (<30mmHg). Low systolic pressure. Delayed capillary filling. |
|
III
|
30-35%
|
Skin: cold, clammy and pale.
Severe drop in blood pressure. Restlessness. Oliguria (<30 ml/hour). Metabolic acidosis (blood pH <7.5). |
|
IV
|
40-45%
|
Profound hypotension.
The carotid pulse is the only felt one. Irreversible shock. |
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