Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Shock: Treatment, Procedure, Cost and Side Effects

What is the treatment?

When the organs and the tissues of the body are not receiving proper flow of blood, then such a medical condition is known as shock. Shock deprives the flow of oxygen into various organs of the body and induces piling up of waste materials. Shock, when becomes very serious, can also cause death.

There are three stages of shock. In the first stage of shock, the blood flow becomes low. This situation is called perfusion. As a result, the heart starts beating faster, blood vessels throughout the body becomes smaller in diameter, and the kidney starts retaining fluid into the circulatory system. All these accumulate to increase blood flow into the significant organs and organ systems of the body. In the second stage of shock, the systems in the body cannot continue perfusion further, and other complications are noticed. Deprivation of oxygen into the brain and heart leads to disorientation of the patient and chest pain respectively. In the third stage of this disorder, the prolonged time of perfusion further deteriorates the patient’s conditions. The heart and the kidney almost stop functioning, cells and other organs also start malfunctioning. Finally, the person dies if proper treatment is not given on time.

There are three types of shocks – cardiogenic shock (disorder related to the heart), hypovolemic shock (total volume of blood is low) and septic shock (caused due to infection). In case of cardiogenic shock, inflammation of the heart muscles, heart attack, disturbances of the normal rhythmic heartbeat, fluid accumulation or clot in the heart are the common causes. When a person suffers from hypovolemic shock, reasons behind it may be excess fluid loss, dehydration, excess urination, extensive burns, blockage in the intestine and inflammation of the pancreas. All these reasons lead to lesser volume of blood in the body. Septic shock can occur when any bacterial infection is allowed to stay in the body for a very long time without treatment. Bacteria produce toxins that spread throughout the body and damage the circulatory system.

Symptoms of shock include cold hands and feet, blue-tinged or pale skin, weak pulse rate, heavy breathing and low blood pressure.

The treatment of circulatory shock requires quick treatment methods to cure a person from such a disorder. Certain fluids, medicines and electronic devices can help in treating circulatory shock easily.

How is the treatment done?

Shock is a situation where the human body is unable to receive optimum amount of blood in the body. Therefore to treat such a disorder, the proper amount of blood flow should be assured to all the important internal organs as well as in blood vessels and tissues. Treatment of circulatory shock can be done by securing the airway through intubation if required, so as to decrease the breathing and guarding against respiratory arrest. Administration of intravenous fluids into the patient’s body is strongly recommended. It means that a certain quantity of saline water is to be given to the person suffering from this disorder. If the patient remains in shock even after the very first treatment mentioned above, then packed red blood cells should be given in order to keep the haemoglobin more than 100 g/L. Artificial oxygen provision is also suggested for treatment of shock.

Certain medicines can be used to treat shock. Vasopressors are used to increase blood pressure along with the body fluids. Dopamine and norepinephrine are the most commonly used vasopressors to treat shock. Activated protein C is also used to manage circulatory shock that occurs due to bacterial infection. Sodium bicarbonate is also used to treat shock, but the pH of NaHCO3 has to be less than 7, otherwise it would not show proper outcomes. Certain antibiotics are also used to treat shock.

Certain mechanical supports are provided to the patients to treat circulatory shock. Intra-aortic balloon pumps (IBAP) are used to increase myocardial oxygen perfusion as well as cardiac output at the same time. Once the cardiac output is increased, the coronary blood flow increases, thereby increasing the myocardial oxygen. A ventricular assisting device (VAP) helps in cardiac circulation by assisting one of the ventricles or both of the together to induce an optimum blood flow mechanism in the body. An artificial heart can be used to support the damaged human heart if necessary. If the normal heart of the patient is malfunctioning too much and cannot pump blood properly, an artificial one can be installed after removing the original heart. If the heart is unable to pump optimum amount of blood and is using the exact amount of oxygen that is required to maintain a healthy body, an Extracorporeal Membrane Oxygenation System (ECMO) can be installed to let the heart perform its task in a normal way.

Who is eligible for the treatment? (When is the treatment done?)

The problem of shock can occur to anyone. It can happen to children as well as old people. Therefore there are certainly no age barriers for the treatment of shock. Every person, irrespective of their age is eligible to take the treatment of shock, if they suffer from such symptoms.

Who is not eligible for the treatment?

A healthy person who does not have any symptom of shock disorder is not eligible to take the treatment of this disorder.

Are there any side effects?

Vasopressin used can be sometimes harmful for the patient who is suffering from shock. There is a risk of having arrhythmia due to consumption of vasopressin. The usage of various electronic devices in trying to cure this disorder can lead to other problems. The use of IBAP can lead to ischemia, occlusion of renal artery leading to kidney failure, cerebral embolism, infection and other problems. The use of VAD also has various side effects. It can lead to infections, heart failure, viral transmission and blood clotting leading to stroke. The usage of ECMO also has side effects like neurological injuries, heparin induced thrombocytopenia, intra-ventricular haemorrhage in children is quite common.

What are the post-treatment guidelines?

The post treatment guidelines for the treatment of the problem of shock are to see that the patient is having a proper blood circulation in the body. For that, the patient is to be taken for regular check-ups to the doctor. Checking the blood pressure should be done regularly, and the pressure should not be allowed to fall. Urine tests and blood tests should be done regularly to keep a check on the body fluids; which cannot be allowed to become acidic in nature. If electronic devices are installed within the body of the patient, those should be also under regular check, as external devices to cure a person can also create problems within the body.

How long does it take to recover?

The shock occurring in body is a disorder that can be treated if the blood pressure and blood supply is kept optimum. This job is done by inducing a few external things into the body. But it is to be noted that there is no permanent recovery from the problem of shock. The patient has to be kept under supervision throughout his/her life, especially if an external electronic device, say an artificial heart is installed within their body, then the patient may be released from the hospital within 5 to 10 days after the device has been installed, but needs to stay under constant supervision.

What is the price of the treatment in India?

The treatment of shock that involves fluid intake and medicines are not costly at all. However, the cost of device installation to treat shock can vary between Rs. 3,90,000 to Rs.7,80,000 in India. This treatment is available in the leading hospitals of various metropolitan cities in India.

Are the results of the treatment permanent?

The treatment of problems of shock using mere medicines and fluids provides temporary relief. However, once the devices are installed in a person, he/she has to use it throughout life. With the aid of them, the affected person can survive properly and lead a normal life.

What are the alternatives to the treatment?

Certain careful measures can be taken by the affected person at home. The affected person’s airway, breathing and circulation can be checked every 2 minutes. The person should not be allowed to eat or drink anything when the shock occurs. The person should be allowed to wear loose fitting clothes. Also, the best way to give an alternative treatment is to prevent shock from occurring. Whenever a person is suffering from immense dehydration due to diarrhoea or dysentery, he/she should be made to drink a lot of water. Food that produces blood should be taken regularly.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 3,90,000 - Rs.7,80,000

Popular Health Tips

Toxic Shock Syndrome - Know How it Happens?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Toxic Shock Syndrome - Know How it Happens?

Toxic shock syndrome is a severe condition resulting from a bacterial infection. This infection is caused by the bacteria, Staphylococcus Aureus, which enter the bloodstream. Once into the bloodstream, the bacteria start producing toxins in the body. This is common among menstruating women who have a habit of using super-absorbent tampons. It can, however, also affect men and children.

Symptoms
In case of toxic shock syndrome, one might experience symptoms of low blood pressure and fever. Dryness of the eyes and the mouth, muscle pain and diarrhea are also common symptoms of this disorder. Your blood pressure may drop suddenly, making you prone to fatigue and nausea.

Causes
This type of infection occurs when the bacteria enter the body through a cut or sore on the skin. Women who use tampons during their menstrual cycles are vulnerable as tampons happen to be thriving spots for bacteria if aren’t changed frequently. Fibers present in the tampons may also create friction against the vagina, thus creating an opening for the bacteria to enter the bloodstream.

In addition to the causes, there are certain risk factors for toxic shock syndrome:

  1. Presence of an open wound on the skin
  2. Giving birth to a child
  3. Using vaginal sponge or diaphragm as contraceptives

Treatments
This disorder is considered to be a medical emergency. To combat the bacterial infection, antibiotics are administered into the body via intravenous means. The course of the antibiotic treatment lasts for about 7-8 weeks. There are other treatments for this disorder, which mainly depend on the causes. If the cause of the disorder is a tampon or a vaginal sponge, then it will need to be removed from the body. In case of a wound being the cause, the pus from the wound will need to be drained. Blood pressure medications are also possible treatment modes for toxic shock syndrome.

You can also follow these preventive measures:
1. Replace your tampon regularly
2. Avoid using super absorbent tampons
3. Use sanitary napkins when the volume of bleeding is low
4. In case of wounds, keep the area clean and dry

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2738 people found this helpful

Toxic Shock Syndrome (TSS) and its Causes

Fellowship in Laproscopic Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Toxic Shock Syndrome (TSS) and its Causes

Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.

New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.

Symptoms

Warning signs of TSS include:
-Seizure
-Headaches
-Muscle aches
-Diarrhea
-High fever
-Nausea

Causes
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.

-Headaches-Nausea
3215 people found this helpful

What Problems Extracorporeal Shock Wave Therapy Can Tackle?

MBBS, D - Orho
Orthopedist, Ahmedabad
What Problems Extracorporeal Shock Wave Therapy Can Tackle?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology as well as orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in the heel pain.

How does it work?

The procedure is basically an outpatient or day care job. It involves an application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.

What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very rare, with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures. If you wish to discuss any specific problem, you can consult an orthopedist.

4284 people found this helpful

Extracorporeal Shock Wave Therapy: How Does it Help Your Muscles and Bones?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Extracorporeal Shock Wave Therapy: How Does it Help Your Muscles and Bones?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology including orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in heel pain.

How does it work?

The procedure is basically an outpatient/ daycare job. It involves the application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.

What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very few and far between with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures.

'Consult'.

Related Tip: Bone Fractures - Causes and Symptoms

3197 people found this helpful

9 sex facts that will leave you completely shocked

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Chennai
9 sex facts that will leave you completely shocked

9 sex facts that will leave you completely shocked

1. How long does the average man last in bed? - 3 Minutes, 45 Seconds.


2. What are the young ones up to? - Around 70% of youngsters have sex once a week, but 36% get between the sheets several times a week.

3. How long does sex last? - The majority of couples say sex lasts between 15 and 30 minutes. Most did admit that they can only go between 5 to 15 minutes.

4. How couples shake things up? - In most relationships, the woman will rather invest in a lingerie to spice up the sex life. Most would rather do this than introduce sex toys.

5. One night stands? - 70 percent of men, as opposed to 53 percent of women, have had a one night stand at least once.

6. Bad sex moves? - The most dangerous sex position is Cowgirl, as it causes the most penile fractures.

7. Fetishes? - The most common sexual fetish among men is the foot fetish. Smelling, licking or kissing feet is known to turn some men on.

8. Loss of Virginity? - 76 percent of people had sex for the first time at age 18. Around 45 percent said they had sex before then (between ages 16 and 18) while 31 percent lost it before age 15.

9. Penis Sizes? - The average penis length is between six and seven inches when fully aroused.

3 people found this helpful

Popular Questions & Answers

Im 22 from last 3 days im getting suddenly shocking jerk (just a second its happening) on fingers while touching anything whats the reason and what I have ro do.

MBBS
General Physician, Mumbai
Get your vital parameters of the body checked from a nearby doctor and follow up with findings and I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice