Key points for observation of patients with shock

Due to factors such as physical weakness or illness, some patients may experience symptoms of shock. Shock problems can be serious or minor. The key is to send the patient to the hospital for diagnosis in time to avoid delaying the disease. Patients in shock are generally advised to rest in the hospital and receive specific follow-up treatment after they wake up. So what are the key points to observe for patients in shock during hospital care?

The key points to observe for patients with shock are

1. Consciousness and expression: understand the perfusion of brain tissue;

2. Skin color, temperature, humidity; assess the perfusion of the body surface;

3. Urine volume: to understand the blood perfusion of kidneys and the blood circulation of tissues and organs;

4. Blood pressure and pulse: understand microcirculation changes;

5. Pulse: Observe the changes in pulse rate. If the pulse is thin and bundled, it indicates that the shock is getting worse.

6. Breathing: Observe the frequency, rhythm, depth, etc. of breathing to determine changes in the condition. Suggestions: Pay special attention to changes in blood pressure.

Shock is a syndrome in which the body is attacked by strong pathogenic factors, resulting in a sharp drop in effective circulating blood volume, widespread, continuous and significant reduction in tissue blood perfusion, poor systemic microcirculation function and serious disorders of important organs. At this time, the body's functions lose compensation, tissues are ischemic and hypoxic, and neuro-humoral factors are out of balance. Its main characteristics are: insufficient microcirculatory perfusion in important organ tissues, metabolic disorders and functional disorders of various systems throughout the body. In short, shock is the body's response to a decrease in effective circulating blood volume. It is a pathological process of metabolic and cellular damage caused by insufficient tissue perfusion. A variety of neurohumoral factors are involved in the occurrence and development of shock. The so-called effective circulating blood volume refers to the amount of blood circulating through the cardiovascular system per unit time. Effective circulating blood volume depends on three factors: adequate blood volume, effective cardiac output and perfect peripheral vascular tension. When the change of any one of these factors exceeds the compensation limit of the human body, it can lead to a sharp drop in effective circulating blood volume, causing insufficient oxygenated blood perfusion to tissues and organs throughout the body and cellular hypoxia, resulting in shock. In the occurrence and development of shock, the above three factors are often involved and influence each other.

Shock is an emergency situation that is often encountered in clinical practice. We should seize the time to provide treatment. Effective intervention in the early stages of shock can control the primary cause of shock, curb the progression of the disease, and help improve the patient's prognosis.