BLEEDING

Beschreibung

Nancy Caroline's Emergency 7th Edition Chapter 30
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Zusammenfassung der Ressource

BLEEDING
  1. Shock
    1. Hypovolemic
      1. Hemorrhagic
        1. Cardiogenic
          1. Phases
            1. Class I

              Anmerkungen:

              • Blood Loss ~ < 750 mL % Blood loss ~ < 15 Heart Rate ~  <100 Systolic ~ Within Normal Limits Pulse Pressure ~ Within Normal Limits  Capillary Refill ~ Within Normal Limits  Respiratory Rates ~ 14-20  CNS / Mental Status ~ Slightly Anxious Skin Condition ~ Cool, Pale Urine Output ~ > 30 mL/H Fluid Replacement ~ Crystalloid 
              1. Class II

                Anmerkungen:

                • Blood loss ~ 750 - 1,500 % Loss ~ 15 - 30  Heart rate ~ >100  Systolic ~ Normal Pulse Pressure ~ Narrow Capillary Refill ~ Delayed  Respiratory Rate ~ 20 - 30  CNS / Mental State ~ Mildly Anxious  Skin Condition ~ Cool, Pale Urine Output ~ 20 - 30  Fluid Replacement ~ Crystalloid 
                1. Class III

                  Anmerkungen:

                  • Blood Loss ~ 1500 - 2000 % Loss ~ 30 - 40 Heart Rate ~ > 120  Systolic ~ Low Pulse Pressure ~ Narrow Capillary Refill ~ Delayed Respiratory Rate ~ 30 - 40 CNS / Mental Status ~ Anxious and confused Skin Condition ~ Cold , Pale, Moist Urine Output ~ 5 - 15 Fluid Replacement ~ Crystalloid and Blood
                  1. Class IV

                    Anmerkungen:

                    • Blood Loss ~ > 2000  Loss ~ > 40%  Heart Rate ~ > 140  Systolic ~ Low Pulse Pressure ~ Very Narrow Capillary Refill ~ Absent Respiratory Rate ~ > 35 CNS / Mental Status ~ Confused and Lethargic Skin Condition ~ Cool , Cyanotic Urine Output ~ Minimal or None Fluid Replacement ~ Crytalloid and Blood
                  2. Neurogenic
                    1. Anaphylactic
                    2. Inadequate Perfusion
                      1. Brain

                        Anmerkungen:

                        • 4-6 Minutes without permanent damage
                        1. Kidneys

                          Anmerkungen:

                          • 45 Mins without permanent damage
                          1. Skeletal Muscle

                            Anmerkungen:

                            • No more than 2 hours without permanent damage
                            1. Major organs

                              Anmerkungen:

                              • 60 mins without permanent damage. 
                            2. Conditions
                              1. Hematoma
                                1. Hematemesis

                                  Anmerkungen:

                                  • Vomiting Blood
                                  1. Melena

                                    Anmerkungen:

                                    • Black  Foul-smelling  Tarry
                                    1. Hematuria
                                      1. Hematochezia

                                        Anmerkungen:

                                        • Passage of bloody stool 
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