Circulatory Failure Insufficiency

out of 5 possible based on

Circulatory Failure Insufficiency- decrease or loss of the ability of the cardiovascular system to provide sufficient blood volume and blood flow velocity necessary for normal vital activity of the body. Distinguish between cardiac and vascular cancer.

Heart K.N. may be the result of a decrease in contraction, the ability of the myocardium (heart disease, myocarditis, anemia); insufficient filling of the heart cavities (priaritmia of the heart, pericarditis, pneumothorax); diseases accompanied by hypokalemia (in case of prolonged hypnotism, vomiting, etc.). Distinguish between acute and chronic. heart K. n. Leading

CLINICAL SYMPTOMS: dyspnea, cyanosis, edema. In the treatment of cardiac K. n. First of all, they use cardiac glycosides, they also prescribe drugs that improve the metabolic processes in the myocardium, oxygen therapy.

Vascular K.N. occurs as a result of a sharp change in the vascular tone and a developing discrepancy between the circulating blood volume and the volume of the vascular bed.

CLINIC. Acute vascular K. n.can be manifested by fainting, collapse, shock. L

ECONOMY Vascular K. n. It consists in the treatment of its primary. diseases (diffuse myocarditis, sepsis, adrenal adrenal insufficiency, etc.); in eliminating the infection; in the normalization of metabolic. processes and providing the body with sufficient oxygen. Classification K. n. in young children is presented in the table.

Table

Classification of circulatory failure in young children (Chernova MP, 1970)

Degree of circulatory failure

Symptoms

1

At rest, there are no signs of circulatory failure. After physical exertion (prolonged crying, anxiety, feeding, etc.), the child has shortness of breath, pallor, weakness, sometimes he gets tired of sucking, which manifests itself in rejection of the breast or frequent breaks during sucking.

Pa

Signs of circulatory failure are observed at rest. Slight dyspnea. The number of breaths exceeds the normal age indicators no more than 50%. Moderate tachycardia: pulse rate exceeds the norm by 10-15%. The liver may not be enlarged or protrudes under the edge arch no more than 3 cm along the middling-clavicular line. Radiographically - moderate expansion of the shadow of the heart.

116

Significant dyspnea (respiratory rate is 50–70% more than normal), tachycardia (pulse rate exceeds the norm by 15–20%), hepatomegaly (the liver protrudes from the edge of the rib arc more than3-4cm). Possible ascites. Significant increase in heart size. The child is restless. Appetite reduced. Sometimes vomiting is observed.

III

Acute dyspnea (respiratory rate 70–100% more than normal), tachycardia (pulse rate exceeds the norm by 30-40? -4), large dense liver. Borders of the heart dramatically expanded. Congestive wheezing in the lungs. Pulse weak filling. Ascites. Edema. Anasarca. The child is sluggish, pale, no appetite.

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