Does anyone know about septic shock rescue procedures?

volume expansion, anti-shock**; Intravenous isotonic saline, appropriate amounts of plasma, and whole blood. 2. Correct acidosis: Sodium bicarbonate should be used to correct acidosis. 3****；Actively perform surgical procedures according to**.

4.Use plenty of effective broad-spectrum antibiotics to control infections, such as penicillin. 5. There should be hormones; Dexamethasone 1-3 mg kg body weight; Hydrocortisone 100-300 mg is added to 500 ml of 5% glucose and instilled with the internal tendon veins.

Septic shock.

1. Key points of diagnosis.

1) Common in various serious infections, such as biliary tract infection, strangulated intestinal obstruction, urinary tract infection, acute diffuse peritonitis, extensive burns, sepsis, etc.

2) Chills, high fever or sudden drop in body temperature.

3) Weak pulse, low systolic blood pressure, pale or flushed complexion.

2. Rescue outline.

1) Open up intravenous channels.

2) Rapid input of expanders based on crystalloid solution and plasma substitute.

3) Correction of acidosis.

4) Accurately determine the state of microcirculation and rationally use vasoactive drugs.

5) Oxygen**.

6) Extensive application of antibiotics.

7) Adrenocorticosteroid application.

8) Give high doses of vitamin C.

3. First aid measures.

1) 5% GS 1000ml + erythromycin 90-1.2 million or gentamicin 12-160,000 intravenous drops.

2) 5% GS 1000 ml + penicillin sodium salt 400-8 million units, intravenous drip.

3) Dexamethasone 10-20 mg, dopamine 40 mg, intravenous drip.

4) 10% GS 500 ml + alamine 20 mg, intravenous drop.

5) To correct acidosis, 5% sodium bicarbonate 200-300 ml intravenously.

6) Atropine 1-2 mg, intravenously.

The principles of rescue in septic shock are as follows: replenishment of effective circulating blood volume; appropriate use of vasoactive drugs; aggressive infection control; Early use of glucocorticoid posture masks; Correction of water, electricity, hydrolysis and acid-base disorders; Complications prevention and support**.

It can be said that there are many types of shock, different types of shock methods are also different, for hemorrhagic shock ** the principle is to control bleeding as soon as possible and replenish blood volume as soon as possible, to prevent the formation of kidney failure, shock lung and other complications is the principle of hemorrhagic shock is related to massive bleeding, so the control of bleeding is the basis of **, if the bleeding site can not be determined, blood transfusion and infusion as soon as possible are also required ** blood volume replenishment is a general ** measure,

Let's take the test. 1. Rehydration, maintenance of blood volume 2 Vasoactive drugs, 3 cardiac drugs, 4 Acid correction 4 Prevention and treatment of infections 5 Nutritional support.

Generally, there are: oxygen inhalation, ECG, blood oxygen, and blood pressure monitoring.

Septic shock requires: volume expansion, acid correction, vasodilation, hormones, anti-injuvenation, naloxone, vasopressor, and protection of vital organs.

Cardiogenic shock requires: pressor, volume expansion, primary disease.

Hypovolemic shock requires: hemostasis, volume expansion, and vasopressure.

Anaphylactic shock: termination and elimination of allergens, diplugs, hormones, oxygen administration, vasoactive drugs, volume expansion, acid correction, calcium gluconate.

a.Immediate surgery.

b.After short-term anti-shock**.

c.Anti-shock** when ineffective.

d.After the foci of infection are localized.

e.The foci of infection are about to burst before they burst.

Correct Answer: Hail Bridge: Hu Hui A

Answer]: The essence of B shock is effective blood volume depletion, so no matter what type of shock, the first principle is to supplement blood volume, rather than immediate surgery or anti-infection, and short-term anti-shock ** can be used for surgical treatment with Ming vertical therapy.

Answer]: The essence of shock is that the effective blood volume is insufficient, so ** shock should first replenish the blood volume, and patients with septic shock should first be infused with balanced salt solution, which can be combined with appropriate colloid, plasma or whole sail blood. **Isotonic solution should be used for isotonic water shortage, with balanced salt solution preferred and NaCl solution secondary.

**Hypertonic dehydration should be supplemented with hypotonic fluids, such as 5% glucose solution or NaCl solution.

First, if the patient has symptoms of infection, such as fever, wheezing, cough, dyspnea, etc., which is suspected to be caused by bacteria and viruses, life support is given immediately, oxygen is given to the patient, and mouth and nose secretions are removed to keep breathing smooth.

Second, establish intravenous access as soon as possible, give fluids, and give strong broad-spectrum antibiotics.

Third, rapid treatment of the source of infection, such as lung infection, rapid expectoration, such as soft tissue or organ infection, to eliminate wealth, change dressings, and if necessary, surgical treatment.