Carlos Adams was involved in a motor accident and suffered blunt trauma to his abdomen. Upon...

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Biology

Carlos Adams was involved in a motor accident andsuffered blunt trauma to his abdomen. Upon presentation toemergency department, his vital signs are as follows:
Temperature, 100.9degrees Ferihieght, heart rate,120bpm,respiratory rate, 20 breast/min, and blood pressure, 90/54mmHg.Hisabdomen is firm,with bruising around the umblicus. He is alert andoriented, but complains of dizziness when changing positions. Thepatient is admitted for management of suspected hypovolemicshock.The following orders are written for the patient:
place two large-bore IVs and infuse 0.9% NS at 125mL/hr/line.
Obtain complete blood count, serum electrolytes oxygen at 2L/minvia nasal cannula.
Type and cross for the 4 units of blood.
Flat plate of the abdomen STAT (Learning objective 1,4,and5).
a. Describe the pathophysiologic sequence of events seen withhypovolemic shock.
b. What are the major goals of medical management in thispatient?
c. what is the rationale for placing two large-bore IVS?
d. what are the advantages of using 0.9% NS in this patient?
e. What is the rationale for placing the patient in a modifiedTrendelenburg position?

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3.8 Ratings (456 Votes)

Hypovolemic shock is also known as haemorrhagic shock When more that 20 or onefifth body fluid and blood is lost from the body shock symptoms can occur Blood pressure falls drastically and may result in life threatning situation Acute external blood loss secondary to penetrating trauma and severe GI bleeding disorders are 2 common causes of hemorrhagic shock Answer a When there is a case of sudden injury hemorrhage can occur and he body responds to it by activating the four following systems a hematologic b cardiovascular c renal and d neuroendocrine system The three act as the major physiologic systems As the name suggests the hematologic system responds to an acute severe blood loss Then it activates the coagulation cascade and contract blood vessels that are bleeding with the help of thromboxane A2 release Platelets are activated at the same time to combat blood loss The clot is stabilized by fibrin deposition as the damaged blood vessel exposes collagen to the body to respond In 24 hours a mature clot formation may be complete The cardiovascular system initially responds to hypovolemic shock by increasing the See Answer

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