Hypovolemic shock: a better understanding for the best treatment! Classification, pathophysiology, clinical recognition
Many different shock definitions exist but the most accurate one is likely inadequate energy production by the cell. ATP is the most important energy molecule the body uses. Without ATP, the cell suffers and starts working abnormally.
To be able to produce ATP, the cells needs: O2, a functional pump, a normal flow, normal intravascular volume, a functional mitochondria/source of glucose.
If one of these component stops working, ATP production will be impaired and lacte production will start.
We can classify the different types of shock as impairment of:
• Blood flow (vasomotor tone/distribution) -> distributive/obstructive shock
• Glucose/nutriment - Available and efficient machinery to produce ATP (mitochondria, ETC etc..) -> metabolic shock
• Efficient cardiac pump -> cardiogenic shock
• Adequate blood volume/intravascular volume -> hypovolemic shock
• O2 delivery to the cell -> hypoxemic shock
True hypovolemic shock is the most common one. Different stages of hypovolemic shock exist and it is important to know how to recognize them. Consult this video and learn all about classification, pathophysiology, clinical recognition and treatment to be able to give the best treatment.
During this presentation, we will review the different type of fluids, which are the pros and cons and their indication in the treatment of hypovolemic shock as well as in the hemorrhagic shock.