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Akut IVA 2

Vätsketerpi vid anestesi och akut iva

QuestionAnswer
Nämn några orsaker till dehydrering 1. Minskat intag av vätska 2. Ökade förluster (ex diarré) 3. Kräkning 4. Magsäcksöverfyllnad
Beskriv symtom som tyder på lindrig dehydrering (ca 5%) 1. Minimalt minskade hudturgor 2. Lindrigt klibbiga slemhinnor 3. Minskad urinproduktion
Vad räknas som lindrig dehydrering? 5%
Beskriv symtom som tyder på måttlig dehydrering (ca 8%) 1. Minskade hudturgor 2. Klibbiga/torra slemhinnor 3. Svag perifer puls 4. Insjunkna ögon
Vad räknas som måttlig dehydrering? 8%
Beskriv symtom som tyder på kraftig dehydrering (ca 10%) 1. Minskade hudturgor 2. Klibbiga/torra slemhinnor 3. Svag perifer puls 4. Insjunkna ögon 5. Kraftig tachykardi 6. Hypotension 7. Ev. medvetenlöshet
Vad räknas som kraftig dehydrering? 10%
Vad innebär hypovolemi? En minskning av den cirkulerande blodvolymen
Nämn några orsaker till hypovolemi 1. Kraftig dehydrering 2. Snabb vätskeförlust (ex blödning eller polyuri) 3. Kraftig hypoproteinemi
Nämn några symtom på hypovolemi 1. Minskad vävnadsprefursion 2. Nedsatt medvetandegrad 3. Bleka slemhinnor 4. Förlängd CRT 5. Nedsatt pulskvalitét 6. Tachykardi 7. Nedsatt perifer temperatur 8. Minskad urinproduktion 9. Chock (pga kraftig hypovolemi)
Vad innebär endotoxinemi? Toxiner från gramnegativa bakterier hamnar i blodet och kroppen reagerar med kraftig inflammation
Vad kan endotoxinemi orsakas av? 1. Kraftig infektion (ex sepsis, pleuropneumoni, peritonit, pyometra) 2. Ökad genomsläpplighet i tarmväggen (pga ischemi eller colit hos häst) 3. Ökad produktion av bakterierna i tarmen pga feljäsning (häst) 4. Lever insufficiens
Nämn några symtom på endotoxinemi 1. Hyperemiska slemhinnor 2. Petekier 3. Feber 4. Hypotermi 5. Påverkad cirkulation 6. Vasodilation 7. Reducerad cardiac output
Vad kan endotoxinemi leda till? Septisk/endotoxiskt chock
Vad är sepsis? Tillväxt av bakterier i blodet som även kan börja växa på organ
Created by: user-2044598
 

 



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