-
Shruti Silwal
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
-
Prerit Devkota
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
-
Puja Sinha
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
-
Randip Raut
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
-
Ashis Shrestha
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
https://orcid.org/0000-0001-9572-0649
Keywords:
Assessment, Fluid Responsiveness, Noninvasive, Shock
Abstract
Shock is an important clinical condition presenting to the emergency department. Pathophysiology of septic, cardiogenic, hemorrhagic, obstructive, and anaphylactic shock are different however clinical assessment tools are the same and limited. It is important to identify shock in its early phase or the patient at risk of shock in the emergency department. There is no accurate clinical tool to identify the early stage of shock. Moreover, it is also important to assess fluid responsiveness to shock, available clinical and biochemical parameters respond differently to fluid resuscitation and none of the tools had 100% sensitivity and specificity. Therefore, this article reviews the available clinical and biochemical parameters to assess and monitoring fluid responsiveness in shock.
Author Biographies
Shruti Silwal, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Resident, Department of General Practice and Emergency Medicine, Patan Hospital
Prerit Devkota, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Resident, Department of General Practice and Emergency Medicine, Patan Hospital
Puja Sinha, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Resident, Department of General Practice and Emergency Medicine, Patan Hospital
Randip Raut, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Resident, Department of General Practice and Emergency Medicine, Patan Hospital
Ashis Shrestha, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
Assistant Professor, Department of General Practice and Emergency Medicine, Patan Hospital