Bahan Extra For Cap Refill.docx

Largest organ of body: skin! Most essential organs: brain & kidneys

Shock Sepsis, Septicemia, Septic Shock Mortality Vasoconstriction >< vasodilatation

Status Asthmaticus “Tank is not full” >Dehydration: High output (GEA,diarrhea vomiting) Low input (thirst) >Blood loss: trauma & bleeding >Septic shock (vasodilitation)

Rales: sounds of opening of wet alveoli in lungs (pulmonary edema, pneumonia, overhydration) 23% X 1.4 = 32% (after 1 hour) 32% X 1.4 = 45% (after 2 hours) 1.4 dari 100% + 40% Rx Shock: 1. IV fluids, 2. Sympathomimectics: adrenalin, 3. 3. Steroids (hydrocortisone) IV fluids for shock: normal saline & albumin (5%) (ALSO Ringer’s Lactate)

Aggressive volume resusitation for shock: IV dose: 20cc/kg BB in 5 mnts X 3 Tachypnea plus Wheezing: expiratory stridor di lungs = Status asthmaticus Rx Status asthmaticus: 1. sympathomimetics (albuterol, adrenalin [epinephrine], terbutaline) 2. steroids (methylprednisone) 3. IV fluids

Tachycardia plus Prolonged Cap Refill = shock (or warning of shock)