Shock (physiology): Difference between revisions

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==Diagnosis==
==Diagnosis==
The [[physical examination]], by estimating skin temperature and [[central venous pressure]] (>7 cmH<sub>2</sub>O), can frequently distinguish the type of shock that a patient has.<ref name="pmid20945471">{{cite journal| author=Vazquez R, Gheorghe C, Kaufman D, Manthous CA| title=Accuracy of bedside physical examination in distinguishing categories of shock: a pilot study. | journal=J Hosp Med | year= 2010 | volume= 5 | issue= 8 | pages= 471-4 | pmid=20945471 | doi=10.1002/jhm.695 | pmc= | url= }} </ref>
The [[physical examination]], by estimating skin temperature and [[central venous pressure]] (>7 cmH<sub>2</sub>O), can frequently distinguish the type of shock that a patient has.<ref name="pmid20945471">{{cite journal| author=Vazquez R, Gheorghe C, Kaufman D, Manthous CA| title=Accuracy of bedside physical examination in distinguishing categories of shock: a pilot study. | journal=J Hosp Med | year= 2010 | volume= 5 | issue= 8 | pages= 471-4 | pmid=20945471 | doi=10.1002/jhm.695 | pmc= | url= }} </ref>
==Treatment==
Regarding medications for treating shock, "there is not sufficient evidence of any difference between any of the six [[vasopressor]]s" according to a [[meta-analysis]] by the [[Cochrane Collaboration]]. <ref  name="pmid21563137">{{cite journal| author=Havel C, Arrich J, Losert  H, Gamper G, Müllner M, Herkner H| title=Vasopressors for hypotensive  shock. | journal=Cochrane Database Syst Rev | year= 2011 | volume= 5 |  issue=  | pages= CD003709 | pmid=21563137 |  doi=10.1002/14651858.CD003709.pub3 | pmc= | url= }} </ref>


==References==
==References==
<references/>
<references/>

Revision as of 21:52, 26 June 2011

In physiology and medicine, shock is "a pathological condition manifested by failure to perfuse or oxygenate vital organs."[1]

Classification

Diagnosis

The physical examination, by estimating skin temperature and central venous pressure (>7 cmH2O), can frequently distinguish the type of shock that a patient has.[2]

Treatment

Regarding medications for treating shock, "there is not sufficient evidence of any difference between any of the six vasopressors" according to a meta-analysis by the Cochrane Collaboration. [3]

References

  1. Anonymous (2024), Shock (physiology) (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Vazquez R, Gheorghe C, Kaufman D, Manthous CA (2010). "Accuracy of bedside physical examination in distinguishing categories of shock: a pilot study.". J Hosp Med 5 (8): 471-4. DOI:10.1002/jhm.695. PMID 20945471. Research Blogging.
  3. Havel C, Arrich J, Losert H, Gamper G, Müllner M, Herkner H (2011). "Vasopressors for hypotensive shock.". Cochrane Database Syst Rev 5: CD003709. DOI:10.1002/14651858.CD003709.pub3. PMID 21563137. Research Blogging.