COLLOID COAGULPOATHIES: IS HYDROXYETHYL STARCH A CAUSE?

摘要

Poor perfusion can easily be identified on physical examination. The physiologic response to shock is vasoconstriction which can be proved by the presence of the following parameters: delayed capillary refill time, pale mucous membranes, decreased mentation, tachycardia, poor pulse quality, and cool extremities compared to rectal temperature. A constellation of these findings upon triage examination signals the need for a restoration of effective circulating volume. This volume expansion for patientsin shock can be accomplished through the judicious use of intravenous fluids. Short, large diameter catheters that can be placed quickly, most commonly in a peripheral vein, provide the access for this life-saving treatment. The large diameter facilitates faster infusion of shock fluid therapy. The fluid choice for volume resuscitation for patients in shock is often debated.