The first order of business for patients with hemorrhagic shock is the replacement of blood. Some secondary medications can be involved in the treatment. If the patient is suffering, doctors may prescribe a painkiller like morphine to diminish their pain. Under some circumstances, vasopressin can be used to limit internal hemorrhaging, although this treatment is risky because of potential effects on the heart. Somatostatin and octreotide can sometimes succeed in reducing gastrointestinal hemorrhaging. Finally, stimulants such as dopamine and epinephrine may be used to increase heart rate.
David H. Sibley, MD
- internal medicine
Location and Office HoursCardiology PC
801 Princeton Ave SW Ste 707
Birmingham, AL 35211
- BlueCross BlueShield
- BlueCross BlueShield of Alabama
- First Health
- Great-West Healthcare Cigna
- United Healthcare
- Princeton Baptist Medical Center
How do medications treat hemorrhagic shock?
Piedmont Heart Institute answered
What precautions are recommended for patients with diseased heart valves?
SCAI answeredPerhaps you were diagnosed with a heart valve problem but your physician said it was not severe and he or she recommended monitoring its progress over more aggressive treatment. Or perhaps you recently underwent valvuloplasty or valve replacement or repair. In either case, there are actions you can take in your daily life to minimize future heart valve problems. Your physician can help you develop a plan for staying well that is tailored to your condition.
Your physician’s recommendations may include some of the following:
Infection prevention. Seeking early treatment for a suspected strep throat infection can reduce your chances of contracting rheumatic fever, which can cause your heart valves to thicken in the first place. Also, if you have heart valve disease and need to undergo surgical or dental procedures, talk to your doctor or dentist about antibiotic treatment beforehand. Antibiotics can help prevent infective endocarditis, an infection of the heart’s lining that can further damage valves. Your doctor or dentist should follow the American Heart Association’s recommendations for when precautionary antibiotics should be taken to prevent endocarditis.
Medications. If your heart valve disease is not serious enough to require surgery or if you have already had surgery, your physician may prescribe medication as part of your wellness plan. Common medications for managing valvular heart disease include diuretics to help reduce fluid in the body through urination and anti-hypertensive medication to decrease high blood pressure and to reduce the workload on the heart.
Regular doctor’s visits. If you do not have severe heart valve disease, your physician may recommend monitoring rather than surgery. Your doctor will periodically review your symptoms, have you come in for regular examinations, and possibly order additional echocardiograms. Be sure to visit your doctor regularly to monitor whether your heart valve disease is worsening. If you have already had valvuloplasty or valve repair or replacement, regular check-ups are equally important. Your physician can help you track the continued effectiveness of these procedures.
Exercise and diet. Talk to your doctor about appropriate diet changes and levels of exercise. Modest exercise can help reduce high blood pressure, a risk factor for valvular heart disease.
What are the symptoms of anomalous coronary arteries and fistulas?
Sometimes children are born with an abnormal placement of the arteries that supply the heart with blood (the coronary arteries). Additionally, abnormal branches from the coronary arteries, or fistulas, may be present.
Many children with this type of congenital (present at birth) heart disease will not have any symptoms. Some will have symptoms like chest pain, arrhythmias, or passing out (syncope) with exercise. In rare circumstances, the abnormality can result in sudden death.Infants with a condition called anomalous left coronary artery arising from the pulmonary artery (ALCAPA) may become sick with difficulty feeding and increased work of breathing within the first few months of life due to progressive deterioration of heart function. This requires a surgery to remove the coronary artery from the pulmonary artery (the artery leading from the heart to the lung) and to reattach the vessel back to the aorta (the main blood vessel leading from the heart to the body). Because there is usually some damage to the heart caused by the reduced blood flow to the heart, the squeezing function of the heart may be reduced. The function of some of the valves letting blood into the heart may be affected, resulting in significant leakage of the valve. Even after reattaching the anomalous coronary artery back to the heart, the squeezing function of the heart and valve function may not recover, resulting in a cardiomyopathy.
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