A Simple Guide to Circulatory Shock, Diagnosis, Treatment and Related Conditions

By Kenneth Kee

This book describes Circulatory Shock, Diagnosis and Treatment and Related Diseases

Shock may mean many things to many people.
For example it may emotional shock for someone to hear that his son is not genetically his.
There is also a condition termed cultural shock.
Even an electric shock can cause circulatory shock.
Circulatory Shock is defined in the medical context as:
Low blood pressure,
A rapid heartbeat
Signs of poor end-organ perfusion or decompensation and peripheral shut down (such as low urine output, confusion or loss of consciousness).

Shock is a life-threatening disorder that happens when the body is not getting enough blood flow.

Inadequate blood flow indicates that the cells and organs do not obtain enough oxygen and nutrients to function properly.

This can damage multiple organs.

Shock requires immediate medical treatment and can become worse very rapidly.

As many 20% people in shock will die from it.

The main types of circulatory shock are:

Cardiogenic shock (linked to heart disorders)

Injury to the heart can reduce the blood flow to the body, resulting in cardiogenic shock.
Frequent causes are:
Injury to the heart muscle
Irregular heart rhythm
Very slow heart rhythm

Hypovolemic shock (produced by inadequate blood volume)

Hypovolemic shock happens when there is insufficient blood in the blood vessels to transport oxygen to the organs.
This can be produced by severe blood loss (at least 20-25% of circulating blood volume) from injuries.
The blood supplies oxygen and vital nutrients to the body organs.
If the patient loses too much blood, the body organs cannot function properly.
Severe dehydration can also induce this type of shock

Obstructive shock

Obstructive shock happens when blood cannot reach where it needs to go.
A pulmonary embolism is a disorder that may result in an interruption to blood flow.
The disorders that can induce an accumulation of air or fluid in the chest cavity can also result in obstructive shock:
Pneumothorax (collapsed lung)
Hemothorax (blood in the space between the chest wall and lung)
Cardiac tamponade (blood fill the space between the sac surrounding the heart and the heart muscle)

Distributive shock
The disorders that induce the blood vessels to lose their tone can produce distributive shock.
When the blood vessels lose their tone, they can become so dilated that insufficient blood pressure supplies the organs.

Distributive shock can cause symptoms such as:
Flushing
Low blood pressure
Loss of consciousness

There are types of distributive shock such as:
Anaphylactic shock (allergy)
Septic shock (infections)
Neurogenic shock (damage to nervous system)

A person in shock has symptoms:
Pale cool skin
Rapid weak pulse
Rapid breathing

Physical examination may show a pale fainting person with:
Poor alertness
Heart rate>100 beats/minute
Respiratory rate>22 breaths/minute
Hypotension (systolic blood pressure

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 6, 2022
• ISBN: 9781005263737

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

A

Simple

Guide

To

Circulatory Shock,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2022 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Circulatory Shock, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Circulatory Shock)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Circulatory Shock

Shock may mean many things to many people.

For example it may emotional shock for someone to hear that his son is not genetically his.

There is also a condition termed cultural shock.

Even an electric shock can cause circulatory shock.

Circulatory Shock is defined in the medical context as:

1. Low blood pressure,

2. A rapid heartbeat

3. Signs of poor end-organ perfusion or decompensation and peripheral shut down (such as low urine output, confusion or loss of consciousness).

What is Circulatory Shock?

Shock is a life-threatening disorder that happens when the body is not getting enough blood flow.

Inadequate blood flow indicates that the cells and organs do not obtain enough oxygen and nutrients to function properly.

This can damage multiple organs.

Shock requires immediate medical treatment and can become worse very rapidly.

As many 20% people in shock will die from it.

The main types of circulatory shock are:

1. Cardiogenic shock (linked to heart disorders)

Injury to the heart can reduce the blood flow to the body, resulting in cardiogenic shock.

Frequent causes of cardiogenic shock are:

a. Injury to the heart muscle

b. Irregular heart rhythm

c. Very slow heart rhythm

2. Hypovolemic shock (produced by inadequate blood volume)

Hypovolemic shock happens when there is insufficient blood in the blood vessels to transport oxygen to the organs.

This can be produced by severe blood loss (at least 20-25% of circulating blood volume) from injuries.

The blood supplies oxygen and vital nutrients to the body organs.

If the patient loses too much blood, the body organs cannot function properly.

Severe dehydration can also induce this type of shock.

3. Obstructive shock

Obstructive shock happens when blood cannot reach where it needs to go.

A pulmonary embolism is a disorder that may result in an interruption to blood flow.

The disorders that can induce an accumulation of air or fluid in the chest cavity can also result in obstructive shock such as:

a. Pneumothorax (collapsed lung)

b. Hemothorax (collection of blood in the space between the chest wall and lung)

c. Cardiac tamponade (blood or fluids fill the space between the sac surrounding the heart and the heart muscle)

4. Distributive shock

The disorders that induce the blood vessels to lose their tone can produce distributive shock.

When the blood vessels lose their tone, they can become so dilated and floppy that insufficient blood pressure supplies the organs.

Distributive shock can lead to symptoms such as:

a. Flushing

b. Low blood pressure

c. Loss of consciousness

There are a number of types of distributive shock such as:

a. Anaphylactic shock (caused by allergic reaction)

Anaphylactic shock is a serious adverse effect of an allergic reaction termed anaphylaxis.

Allergic reactions