General note

You are on a subpage "Therapy of shock". General information on this topic can be found on our page shock.

immediate treatment

Depending on the cause of the shock, the patient must be treated differently.

An important general measure of shock therapy, which can be performed by any layman on a patient in shock, is the so-called shock storage ( shock ).
In this first shock therapy, the patient lies flat on his back while his legs are raised. The blood flowing into the center of the body ensures the circulation of the vital organs.

However, if cardiogenic shock or heart attack is suspected, it may not be used for shock therapy, as the volume flowing back will further stress the weakened heart! In this case, the upper body of the patient must be stored high in order to relieve the heart.

General therapy

Furthermore, the shock patient is presumably additionally administered oxygen via a nasogastric tube and the lack of blood volume is replaced by a so-called plasma expander (HAES or dextran) via a venous catheter (Braunüle).

Therapy cardiogenic shock

Cardiogenic shock must also treat the cause of shock shock therapy, such as immediate intervention in the event of a heart attack or pulmonary embolism. Volume may only be replaced very slowly so as not to burden the heart any further.

Anaphylactic shock

In shock therapy for anaphylactic shock, cortisone and antihistamines are used to stop the allergic reaction. In addition, adrenaline is given as a spray or via a Braunüle in the venous system, which causes a constriction of the blood vessels.

Neurogenic shock

Measures in the case of a neurogenic shock are the administration of drugs to narrow the vessels (epinephrine, dopamine, dobutamine), which are administered intravenously and the drug-based control of the triggering pain.

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