Shock

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Shock

Shock is caused by insufficient blood flow and oxygen to meet the body's needs. Adequate blood flow requires many factors be in place. These factors include: effective pumping of the heart, open and intact blood vessels, and sufficient blood volume to maintain flow and pressure. Adequate oxygenation requires and open respiratory tract and enough energy to breathe. Any condition that adversely affects the circulatory or respiratory systems can cause shock.

When in shock, the dog will try to compensate inadequate oxygen and blood flow by increasing the heart and respiratory rates, constricting the skin's blood vessels and maintaining the fluid in circulation by reducing the urinary output. These measures require additional energy at a time when the vital organs aren't getting enough oxygen to carry out normal activities. After a time, shock becomes self-perpetuating. Untreated, shock results in death.

Common Causes of Shock:

  • Hemorrhage
  • Heart Failure
  • Anaphylactic Reactions
  • Dehydration (Heat Stroke, Diarrhea or Vomiting)
  • Poisoning
  • Toxic Shock associated with Massive Infections and Peritonitis

Early Signs of Shock include:

  • Panting
  • Rapid Heart Rate
  • Bounding Pulse
  • Bright Red Color to the Mucous Membranes
    of the Lips, Gums and Tongue

Late Signs of Shock include:

  • Pale Skin and Mucous Membranes
  • Drop in Body Temperature
  • Cold Feet and Legs
  • Slow Respiratory Rate
  • Apathy
  • Depression
  • Unconsciousness
  • Weak or Absent Pulse

Treatment:
First evaluate. Is the dog breathing? Is there a heartbeat? What is the extent of the dogs injuries? Is the dog in shock?

  1. If so, proceed as follows:
  2. If the dog is not breathing, proceed with Artificial Respiration.
  3. If there is no heartbeat or pulse, administer CPR.
  4. If the dog is unconscious, check to be sure the airway is open. Clear secretions from the mouth with your fingers and a piece of cloth. Pull the tip of the tongue forward beyond the front teeth to make it easier for the dog to breathe. Keep the dog's head lower than his body by placing a blanket beneath his hindquarters.
  5. If bleeding is present, control the bleeding by using direct pressure or by using a tourniquet, if necessary.
  6. Wrap the dog in a coat or blanket to provide warmth and to protect injured extremities.
  7. Transport to a veterinary hospital.

To avoid aggravating the shock:

  • Calm the dog and speak soothingly.
  • Allow the dog to assume the most comfortable position in which breathing is easiest. An animal will naturally adopt the position of least pain.
  • When possible, splint or support broken bones before moving the dog.
  • All dogs that are unconscious or found lying down after an accident must be considered to have spinal cord injuries and should be handled accordingly, making sure to not bend there backs any more than is necessary. Utilize a firm flat surface to carry the animal with.
  • Transport large dogs on a flat surface or in a hammock stretcher. Carry small dogs in a blanket with injured parts protected.
  • Avoid using a muzzle except for short periods, such as when moving the dog from the scene of the accident into a car, or from a car into the veterinary clinic. Muzzling can interfere with breathing.

This was an excerpt from the book, "Dog Owner's Home Veterinary Handbook"  3rd Edition by James M. Giffin MD & Liisa D. Carlson, DVM.

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