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Circulatory Shock n Septicemia (Alternative Medicine in Mumbai India)

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CASE STUDY:
 

Blood transfusion:

 

Mohan Patel, 34 yrs Mangalore, had a car accident. He lost two pints of blood. He walked to the hospital aided by passerbys. There he was transfused with 2 bottles of blood & his superficial injuries treated. He subsequently developed Hepatitis C due to transfusion and developed Liver Failure. He now lives Life hopelessly considering Liver Transplant.

                   

CIRCULATORY SHOCK   AND SEPTICEMIA              

 

SEPTIC SHOCK

 

  5%  of patients admitted to Acute Care Unit develop Hospital acquired infection including Urinary Tract Infection , Pneumonia , Bacteriaemia and wound infection.

 

A)      Bacteria may enter blood during dental procedures or even during brushing. Unless there is a focus where they can multiply like an abnormal valve, they are rapidly destroyed and circulatory failure does not always occur.

 

B)      Septic state is not always caused by microorganisms. Since only 10% have positive blood cultures. Sepsis may be associated with shock along hypovolumia, trauma , tissue necrosis causing a systemic inflammatory response syndrome.

 

C)      If  Septic shock occurs, infection causes systemic activation of leucocytes and vascular endothelial cells and releases cytokines, complement and other mediators which cause beneficial inflammation against the locally infected tissue. But only if there is dissemination of response it can produce widespread tissue damage. Nitric oxide is synthesized and released from endothelial cells. It regulates perfusion, maintains vascular tone, kills bacteria and inhibits platelet aggregation and cerebrial perfusion.

 

 SYSTEMIC IMMUNE RESPONSE SYNDROME IN CIRCULATORY SHOCK ( ANY TYPE )

 

In the SIR's , progression to multiple organ failure only occurs in severe cases. Once it occurs , death is the usual outcome. The mediators cause

 

i)                     Local and general vasodilatation causing fall in BP.

ii)                   Damage to vascular endothelium of all the organs allowing fluid to leak out from the capillaries to the interstitial spaces causing hypovolumia.

iii)                  Similarly increased permeability of alveolar capillaries cause pulmonary oedema (ARDS)

iv)                  Myocardial depression and decrease in cardiac output .

v)                    Disseminated  Intravascular Coagulation due to haemoconcentration and hypovolumia, widespread clotting occors; all coltting factors are used up and haemorrhage occurs.

 

COMPENSATORY MECHANISM IN SHOCK

 

The low periferal resistance reflexly increases cardiacoutput and the hypoxia causes constriction of the pre capillary arterioles and less constriction of the post capillary  venules thus reducing capillary b pressure and encouraging interstitial fluid to move into the intravascular compartment thus increasing blood volume and thus venous return and thus cardiac output. 80% of Hypovolumic shock recover , whereas 75% of cardiogenic and septic shock die even with treatment.

 

 

 

HAEMORRHAGE

 

 Blood Volume is 6 litres. A sudden loss of 1 litre can be managed by the body. A gradual loss of 3 litres over 24 hours can also be managed by the body. After 2 litres of gradual blood loss, the BP remains unchanged. 3 litres of blood loss, the BP falls but the body is in a state of compensated shock. A  4 litres gradual loss or a 2 litre sudden loss is usually fatal even with treatment.. Arterial clotting is many (3-5) times more faster than venous clotting mechanisms.Severe trauma to vessel wall clot forms in 15 secs, if minor trauma it takes2 minutes.

 

HYPOVOLUMIA

 

A)      In dehydration , and hypovolumia, the body compensates by increasing the systolic      BP, heart rate, increased force of contraction ( increased PR ) and periferal vasoconstriction and by lowering urine output and decreased venous capacitance ( decreased Venous Pooling i.e. increased venous return due to venoconstiction by Nor adrenaline)

B)      Mediators are released which maintain vascular tone and perfusion.

 

DECOMPENSATED SHOCK

 

In de-compensated shock, mortality is more than 90% even with best management.

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Disclaimer: The above viewpointspresented in this website is the general ideology of the author based upon his clinical experience and is not to be applied by reader blindly to any specific disease without prior consultation with your Doctor or with us. In that case, the author shall bear no responsibility for the consequences of blind application based upon interpretation of information presented here without medical guidance.

 

BELIEVE IN NOT

 (Words of Wisdom from the Buddha)

 

Do Not Believe in the strength of Tradition

Even if they have been held

In honor for many Generations and many Places

 

Do not Believe Anything because many people speak of it

Do not Believe in the strength of the Sages of old times

 

Do not Believe that which You yourself have imagined

Thinking that a God has inspired you.

 

Believe nothing which depends only on Authority of

Your Master or of Priests

 

After Investigation, Believe That Which

You yourself have Tested and found Reasonable,

And which is for Your Good and that of Others.

 

Buddha

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Alternative Cure India is a Health Care Clinic in Mumbai India which believes in Nature Therapy and Natural Healing processes within the body. It is a scientific approach to Chronic diseases like Coronary Blockage, Heart Disease to avoid Open Heart Bypass surgery, Angioplasty, Hypertension & High Blood Pressure BP, Diabetes, Obesity, Duodenal Peptic Ulcer, Piles, Fissure, Fistula, Colitis, Amoebic Dysentry, Paralysis, Bells Palsy, Stroke, Parkinsons, Parkinsonism, Asthma, ( Bronchial Asthama ), AIDS, HIV, Immunodeficiency, Thyroid problems, Rheumatoid Arthritis, Osteoarthritis, Knee Pain Artritis, low back pain & backache due to slip disc, spondylitis, cervical or lumbo sacral, Infections, Malaria, Typhoid, Dengue, Chicken guinea, Leptospirosis, Hepatitis, Renal failure, UTI, Urinary Tract Infection, Kidney stones, Calculus, Cancer, Malignancy, Breast CA, Prostate,   Surgery, Joint replacement surgery, Hysterectomy, Uterus removal, Appendix, Bleeding disorders, Excessive Menses, Menstrual problems, Fracture, Dislocation, C Section, Delivery, Caesarian, Forceps, Rheumatism, Eczema, Psoriasis, Skin disease, Allergy, Diarhoea, Stools, Bleeding disorders, Leukemia, Anemia, Weakness, Impotence, Infertility, Sexual problems, General weakness, other disease.