Supportive Care Measures

Lactic acidosis, which typically accompanies hypovolemic shock as a consequence of tissue hypoxia, is best treated by reversal of the underlying cause. Administration of alkalizing agents such as sodium bicarbonate has not been demonstrated to have any

beneficial effects and may actually worsen intracellular acidosis. Since GI ischemia is a common complication of hypovolemic shock, prevention of stress-related mucosal disease should be instituted as soon as the patient is stabilized. The most common agents used for stress ulcer prophylaxis are the histamine2-receptor antagonists and proton pump inhibitors. Prevention of thromboembolic events is another secondary consideration in hypovolemic shock patients. This can be accomplished with the use of external devices such as sequential compression devices and/or antithrombotic therapy such as the low-molecular-weight heparin products or unfraction-ated heparin. Patients with adrenal insufficiency due to pre-existing disease, glucocorticoid use, or critical illness may have refractory hypotension despite resuscitation. Such patients should receive appropriate glucocorticoid replacement therapy (e.g., hydrocortisone).

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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