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Emergencies dental2

lecture 2

Synocope is loss of consciousness with spontaneous
Synocope Causes loss of cerebral oxygenation and perfusion sign of underlying condition stressfull condition
Synocope commonm in all age groups
Synocope in elderly Postural changes defecation, coughing, orthostatic hypotention
Synocope Types Cardiac Noncardiac Neurocardiac
Synocope pre- Sign/ symptoms Pallor pupil dilation diaphoresis weakness, dizziness, vertigo nausea yawing or sighing
Synocope symptoms unconsciousness weak, slow pulse
Synocope treatment remove objects Position supine with feet elevated open air-way loosen tight clothing
Synocope unconsciousness summon EMS bradycardia 0.6 atropine IM could seizure
Shock tissues use anaerobic metabolic process
Shock stages initial compensatory progressive refractory
Inital Shock first stage, cells deprived of oxygen
compensatory Shock body performs physiological adaptation in an attempt to overcome shock + respiration / BP - blood supply and flow to kidney w resulting oliguria( reduced urine output)
progressive Shock compensatory mechanism begin to fail worsen, vital organs compromised and not functioning appropriately
refractory Shock failure of vital organs irreversible death will occur in a few hours
Type of shock: Hypovolemic most common, inadequate venous return Etiologies: vomiting /diarrhea
Type of shock: Hypovolemic symptoms increase heart rate reduced urine output cool skin
Type of shock: Hypovolemic treatment arrest cause supine position contact EMS IV fluids
Type Cardiogenic Shock: reduction of perfusion due to decreased cardiac output
Type Cardiogenic Shock: Etiologies MI Cardiac arrhythmias cardiac dysfunction
Type Cardiogenic Shock: signs and symptoms reduction in BP w systolic below 90 mmHg fast, weak pulse cold, clammy skin cyanosis non-specific shortness
Type Cardiogenic Shock: Treatment supine position contact EMS ABC of CBR Monitor vital signs 02 Needs IV fluids cardiac med's needed
Type Distributive Shock: Vasogenic shock 3 types Anahylactic septic neurogenic
Created by: malika0980