F00574 008 g002

lntravenous fluids

Monitor displaying biood pressure/ atnai pressure/heart rate/Sp02

Infusion

Nitric

cylinder

Intra-aortic Pacemaker

bailoon pump

Haemofiltration (behind machinę

haemoliltration

machinę)

A patient with multi-organ failure supported by haemodynamic monitoring, cardiac pacing, a counterpulsation aortic bailoon pump, haemofiltration and nitńc oxide therapy.

Shock

Multi-organ failuro

Poor urine output

Sweating

Reduced consoous level Confused, unresponsive

Tachypnoea

Hypotension

Tachycardia with low-volume pulse

Cołd cyanosed peripheries

Ischaemia. gangrenę secondary to decreased flow and intravascular coagulation

Central nervous system Confusion Coma

Intracerebral bteedmg Acute respiratory distress syndrome Myocardial depression Liver failure with hyperbilirubinaemia

Gastrointestmai traci lieus

Mucosal damage Haemorrhage

Endotoxin leak to portal vem

Disseminated intravascular coagulation Bleedmg from vessel puncture sites

Skin

Haemorrhages and infarcts secondary to disseminated intravascular coagulation

A Meningococcal sepsis: rash

Some features of shock.

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