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Some indications for shock treatment
Because the main detrimental effect of most types of shock is too little oxygen delivery to the tissues, giving the patient oxygen may be beneficial in some cases.
Treatment is with a bow position
When the pressure drops too low in most types of shock, especially haemorrhagic and neurological shock, placing the patient with the head at least 25cm lower than the leg will help promote venous return, thus also. increases cardiac output. This low head position is a necessary first step in treating many types of shock.
Oxygen therapy
Because the main detrimental effect of most types of shock is too little oxygen delivery to the tissues, giving the patient oxygen may be beneficial in some cases. However, this intervention is often less beneficial than one might expect, because the problem in most types of shock is not that the lungs are getting enough oxygen to the blood, but the transport of the blood. sufficient after oxygen is supplied.
Glucocorticoid treatment
Glucocorticoids - adrenocortical hormones that control glucose metabolism - are often used in patients with severe shock for a number of reasons: (1) experiments have shown empirically that glucocorticoids often increase heart strength during the period. the end of shock; (2) glucocorticoids stabilize lysosomes in the tissue cell and thus prevent the release of lysosome enzymes into the cytoplasm of the cell, thereby preventing quality deterioration from this source; and (3) glucocorticoids may aid in the glucose metabolism of severely damaged cells.