Therapy of shock

General notice

You are on the "Therapy of Shock" subpage. General information on the subject can be found on our shock page.

Immediate therapy

An important general measure in the Shock therapywhich can be carried out by any layperson on a patient in shock is the so-called Shock positioning (Shock position).
In this first measure the Shock therapy the patient lies flat on their back with their legs raised. By flowing into the center of the body blood this ensures the blood flow to the vital organs.

At the suspicion of one cardiogenic shock or one Heart attack, this storage may be at a Shock therapy Indeed by no means can be used because the volume flowing back puts additional strain on the weakened heart! In this case, the patient's upper body must be raised to relieve the heart.

General therapy

Furthermore, the shock patient is presumably given additional oxygen via a nasogastric tube and the lack of blood volume by means of a so-called Plasma expanders (HAES or dextran) can be replaced via a venous catheter (Braunüle).

Therapy for cardiogenic shock

At the cardiogenic shock must also identify the cause of the shock by the Shock therapy be treated, for example by prompt surgical intervention in the event of a Heart attack or one Pulmonary embolism. Volume can only be replaced very slowly by the heart no further burden.

Anaphylactic shock

In the Shock therapy at the anaphylactic shock become Cortisone and Antihistamines given to stop the allergic reaction. In addition, adrenaline is given into the venous system as a spray or via a Braunule, which causes the blood vessels to constrict.

Neurogenic shock

Action in the event of a neurogenic shocks are the administration of drugs to constrict blood vessels (Adrenaline, dopamine, dobutamine), which are administered intravenously and the medicinal treatment of the triggering Pain.