SHocR DATE:20

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1

INTRoDUCTlaAX
hock an best ba delinedas a londihan
un shich Lafdesproaal
Lells u'naoldguate th_KlatBven o2xygeh
and hutaients to uppatutad oxmaf ard
celu las onchian
*pleguate hleoutalytothe Hiaue h
egulred golegu0te"drctac pum eeki
ciudodto2y Åuktem nalsuiLcnk
6LonolVolthe
neo h Compnen+8 imhared
lexalnto the aue hoceactened lamho
-màed
DEinakaN hack
ghack deßineal as a Camplexq_e
teating_CondiEpn ah Synolome,
characknbed b hodeouatE loao
Llots
 PAGE NO

ATHoPHYslolalny
Taalegate fenfusian in.cetd

aernAicmetabalism

o Jachie acid
Bulu,
Metoubad2 acida S

Reaprctiy xoteAsed auides

in
xeshonse-+8 metaba ue

gtageb Alhock
uhSages o ock
m o an0
IATIAL9TAME The Caxcdiac
A
cthe
unkuecifent to uphlyLMuC
eusput nhtmal heeels
horma enaigh-n ouse-
Lbut hatlaus
SerlousAymptoma

2age
Cambensackoy The (arclioc

Aeduceol
i funthe but
ouut
 PAGE NO

co lampensatory VasalanHicHn-

emain Lah n éae

Betendsto
the
homa lange
o s t o i o J k i n Qund dney
olecrease skieiLloodAlaus o
CNS_Qha myolaneliumiy mairtalnel

Tcrogn.eaiuk STae
ckarg.e beleme mere
Lmforvorable
The
heant-
V a s a d o n s ctaip
4La
Lpmbenlatn
sed 1
mecheunam8ngunabktotahe-Loith
gur:o
Neute Cind
hisk etan
edute9utpu ano
he m a e XeEr
heKvel
ho
d ealonto
8Taqe lee
T e v e n siOg
Cal
Baue khr atents

deexae ltdac Velume

RAe_BP Ataqe
harma una i z eetore
banskusion may
BPmu Lemlaaha BPLdecline
Alufo
Untf eath etu
 PAGE No

TYhesoBhak
Hup0volemic shack
aolfagenic hecR
neumgenfe heek
s.Anabhslacal LhocR.
3
HyPovolEMiC Hosk
tncLus when_a än ont amount
PntroAALulan bace utd Une
ma-6ehlnod plasmq
le lectanlyBes Loluta.tÀ he mast
ammonkpe shack.

Severe hleealinq e PPH ectofc

lAegnancy dnusupkun
&edJoodkrauma aaemop.eumo
honax n lreolng heamocte
=mests haemoptsfs.
Severepensiktent- ilanitng ea
DuAq_minn arol maor ORgbrcle
n anan solana.uamthg
 PAGE No

c) Sevcre diarhca eg chalera iti

Qevere eaemak anaBCtfespevtonft2
aancreat8HA.
(e frealz gnd ralpie remove
amnfatP uo.
P evere bunns
Tnaoleguate ud
CNica0 Featuee
Ca BLekecrease potehsiina
C6 R cold and clama

TaahslavedaTachupnea
eKestleknes nrtfetq ueakney
ealgura a0 ml hauni eareskve

Metalholf aetaloAiL_ fatoa are Hl02

alecreaseo ot l

HNaused and Vomi4irg taiis

 DATE:
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G uanosis
Ck
ogpcesve AAaqer
keal erum electoolytehl
exium Creatinine
o-ta um.
Almclglutsep
oal ium q

CARDIOhENL
SHoek
Lboolutkq
= (ardinyenic hcR
sLLNsushendheAgaske3 abty
pump Alde impoirc
n&_A a ConalHmhadt reauoH from
nadlequate pefusign lndy HHssue_
wh004qenautkol blendhat
inaureient-to SuletanLYe 9ardiat-
Ausput uAeak
CAUSE
Ncute muolarolla0 nhaatin raultin
msye damae +d mya.aotfah
Kdmanotus emjnlísm
8acotiadtem ohade grd muepothy
 DATE
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Cunitad_ Eeackures it
}ame ak uboialemicheokii
nuAsthmiad 4 ckut þaln
aKeaAia toryoditrek, hni itoan
duhunai yndinmeianol oleaM_
ompitelan 6
4ept and Venbiculr aior
SMechonfial CamlPgl includi
vent fulan kehta0upte,
NEUKOnENICSHOC

Tnoduaq-
Enab newoi em o
Conto itaHbn-o AIhd veMels
Neurogenc shaek rekulbsram
anerdin uasodPlatoy and
OJass o Vasomt Hone alue
aMaxe 1ed in vasLularlakeuisy
 DATE: L 20
PAGE No

A Venaus xetuhn-to heat,

DeRiniia
Neuyogenic Ahaskia Rpe=chreatend
KAndlilamausedhu oregulaLlnd
aulotig
LGrouma or inwmy toHhe 2phe lon-
Caule hr4aliASuptlan
E Can ocu aRedr alamage kotae-
Centra heryotu Aydtem Aah y 7

CQuse
tai NeRle accident
FallA
lek vlolencc
*3ba4 anauhune
lohol
 bATE
PAGE No
20

CAinitaO FeastueeJ d
NepvouAnes
Loc lkeo_ ALevel op lon&ciaushs)
Cnfaio
3knambu-elu
Keapratem oleres
Hypotenn

4 nahhy latie gHock

Anabylax i a fe threatn
Aéi upen8ensi reaskn 8
ondaut LuilHa an alleen.
Case
u4eniciln
igtotaine
raalio antraat
anegihetf drugÉran
Ineable _ee.
loac anifusiM
Sthg and Aake bite.
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PAGE No
20

Dusing Amotkes
8uldenly clinate hanqe
ChinitaOFeatuye

ough uwheeing Nahgngeal ealem

brodchaIhasm.

Aypesendiantashi.arcdapalartatin
Suncohe
heaxia, an4Kndema ahhuut 9

aukea4 Vom~una
Aeiued
Keapirotoyderesi'o Caorolyo vescuda
Callapse_
oma.
 fOAT 20
PAGE Noo

S,sEPTK 3Hock
Thtroducten
u h e mot
RecR_ano
Cammank be
Laused h4 sfalesprao
inpechm du_to9àmpoosit'we
anat hegative hactrikarl uuses
ICaus

UTI dnaratnfection
Slbortio
Rehrodluctive Tract nfee da
Levcre uxn
ue-o ckwaic alsease dibete 10
Taoe 0ng neA ana latheter
Tmepe nund (arr aiso manaqemenk.
 OATE:
PAGE No
20-

Cinita _ FeastuA
Hyperthermiq

Kevere:headaehe i
Reprt2ra olktres
Deceased arcluc autHout
Hypotshiim

inCalaCala anol pale

Mulhle Axgan_atuxe a

evenHZ
3ock
6hma eecnton kosk A
an exdntfad_
Cntian hoVolemcSKP
Can e revErtedinSomenlta nE 11
montoing
Oukg a a t Ako 2uid
hekfit and
ep lasement BefarcTbravastulare
Volome d olehlere.
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 :20
PKOE No

ehera_Nu8irg
Nu8irgmeare, in lud
Qdmelitation adaHegher
Cumentatlanmoniting
amptatfm nd Aide
sian-
an-
eelB-
U0
aro eahkly- eporchinq

2ahe Blod adlahfatactn-

lmo Bamle 8haiulo he btained
L, rossmatah qouhi

aent xeceiirg BT must lpsely

nontored or Vaabuerse e r t
oer are aLdouro aa n
laschtt+echnöue_n an4-
nedure
ro per cun managemcntE
8sinteat hauldbe olane betore_
ngantbiaHE as mabhsldxs
may CCUr

earlyoleteciaM anal management af

Cardia ollstoY 12
 DATE 20
PAGE No

AlURIIANh CARE aP ATloNT

ON3HOdk
chesk lhr
Breatha 0
a Krshanseniei
c eRaANeeeled_
(edcue
h e Leson lat faceubbud
da not meve An r a au
ect akeacd aiker hed y
9Kaise heeson eet anuet
nahes u e a box, ete
uiaingAAe Leq Lut lause
hain o cher keeh im-
Alas
-
check far ign o cireulatio
abkent eq Caod anztery
Joen ceR_
6 urnhe-tkon on-4 nr her diote
ho aevent chaking A r ledon
unml 0 Alercl Lfom he mauta
eep e don
Laxmanolampctable_
loadenselt_ano+gkt nHPhq_
ahel Lover dthe edon uiHh_c dlankeb
N o ievea e edoh lemplo
o +ht fve no & mou
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 PAGE No

he pedon uank wates, maiA+en_

a alminikter o29e1 uia aee mak

Vasoastive _mediatinsto rtrove
ove
laxdiac_Candrac+£l i e Dokamine
Darhutamlne q Nazdobrenliné