Shock

En Pediatría

María Alejandra Paz Huete

Médico Interno – HCRH
Módulo de pediatría
 Introducción
El shock es un síndrome agudo que se
caracteriza por una insuficiencia
circulatoria generalizada, con perfusión
tisular insuficiente para satisfacer las
demandas de los órganos y tejidos vitales.
 El shock puede ocurrir
Dependiendo del tipo de shock, deberemos pensar en distintas causas

como consecuencia de una pérdida absoluta de volumen

intravascular, bien por hemorragias, pérdidas de líquidos e
Shock hipovolémico iones o aportes insuficientes, especialmente en neonatos;
o una pérdida relativa, por creación de un tercer espacio,
como en los grandes quemados.

La causa más frecuente de este tipo son las cardiopatías

congénitas con gasto cardiaco dependiente de ductus
Shock cardiogénico arterioso, que, al cerrarse en el periodo neonatal o
primeras semanas de lactancia, provoca un fallo cardiaco
grave.

Los gérmenes causantes en pacientes pediátricos son, con

mayor frecuencia, las bacterias, tanto grampositivas
(Streptoccoccus agalactiae, Strep- toccoccus pneumoniae)
Shock séptico como gramnegativas (Neisseria meningitidis, Escherichia
coli), aunque deben tenerse en cuenta los virus, sobre todo
el herpes, en neonatos y lactantes pequeños, y las
infecciones fúngicas en inmunodeprimidos.

Shock anafiláctico
Aspectos básicos del manejo general del shock
Admin de volumen y frecuencia según tipo de
shock
 TABLE OF CONTENTS

OUR
CENTER KEY NUMBERS
01 You can describe
the topic of the
You can describe
the topic of the
02
section here section here

ACCOMPLISHM
PATIENT CARE ENTS
03 You can describe
the topic of the
You can describe
the topic of the
04
section here section here
 TABLE OF CONTENTS

01 02 03
OUR CENTER PATIENT CARE KEY NUMBERS
You can describe the You can describe the You can describe the
topic of the section here topic of the section here topic of the section here

04 05 06
HEALTH AREAS MEDICAL STAFF INSTITUTION
You can describe the You can describe the You can describe the
topic of the section here topic of the section here topic of the section here
 OUR CENTER
01 You can enter a subtitle here if you need it
 OUR CENTER

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 Fases del shock
Se elevan los niveles de adrenalina y noradrenalina,
que aumentan la contractilidad del miocardio y el
tono vascular. Se produce liberación de factor
liberador de corticotropina, y con él, de
corticotropina, que provoca un aumento de los
niveles de glucocorticoides. Estos, junto con las
catecolaminas (adrenalina y noradrenalina)
aumentarán la glucemia. Además, la hipotensión
provoca liberación de péptido natriurético auricular,
que hará que en el riñón se ahorren agua y sodio,
para aumen- tar Compensado VENUS
el volumen intravascular. También se MERCURY
activa el eje renina-angiotensina-aldosterona, debido
Venus is the second Mercury is the closest
a la menor perfusión renal, que contribuye aún más a
planet from the Sun. planet to the Sun and
la reabsorción de sodio renal.
It’s hot and has a the smallest one in the
poisonous atmosphere Solar System

10
 MISSION & VISION

MISSION
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than the Moon
VISION
Venus has a beautiful name and
is the second planet from the Sun.
It’s terribly hot and its
atmosphere is poisonous
 IMPORTANT VALUES

SERVICE EMPATHY
Despite being red, Mars is Venus has a beautiful
actually a cold place. It’s name and is the second
full of iron oxide dust planet from the Sun

RESPONSABILITY
Mercury is the closest
planet to the Sun and the
smallest one
 CENTER FACTS
MARS JUPITER
It's full of iron oxide dust, which It’s a gas giant and the biggest
gives the planet its reddish cast planet in the Solar System

MERCURY SATURN
Mercury is the closest planet to Saturn is composed mostly of
the Sun and the smallest one hydrogen and helium

NEPTUNE VENUS
Neptune is the fourth-largest Venus has a beautiful name, but
planet in the Solar System also very high temperatures
 02
PATIENT CARE
You can enter a subtitle here if you need it
“This is a quote, words full of
wisdom that someone
important said and can make
the reader get inspired”
—SOMEONE FAMOUS
 PATIENT CLASSIFICATION

VITAL PATIENT
SIGNS PROFILE
Mercury is a Mars is made
small planet of basalt

WEIGHT & MEDICAL

HEIGHT RECORD
Venus has a Jupiter is the
beautiful name biggest planet

16
 DIFFERENT TREATMENTS

MERCURY VENUS EARTH

Mercury is the Venus has a beautiful Earth is the only
smallest planet name planet with life

NEPTUNE PLUTO JUPITER

It’s very far away It’s considered a Jupiter is the biggest
from the Sun dwarf planet planet

17
 OTHER SPECIAL CARES
MERCURY MARS
Mercury is the Mars is actually a cold
smallest planet place

SATURN EARTH
Saturn is the ringed Earth is the only
planet planet with life

JUPITER VENUS
Jupiter is the biggest Venus has a beautiful
planet name
 03
KEY NUMBERS
You can enter a subtitle here if you need it
 KEY NUMBERS

50,000
This is the number of total
visitors we had last month

20,000
This is the number of patients
we had last month
5,000
This is the number of
transplants performed so far
 KEY NUMBERS

PATIENTS 50,000 Mercury is a small planet

VISITORS 20,000 Venus has a beautiful name

TRANSPLANTS 5,000 Mars is made of basalt

DONATORS 3,000 Jupiter is a gas giant

 150k+
Lives saved and cared since the Healthcare
Center first opened to the public
 OUR STATISTICS

MERCURY MARS
Mercury is a Mars is made
small planet of basalt

VENUS JUPITER
Venus has a Jupiter is a
beautiful name gas giant

Follow the link in the graph to modify its data and then paste the new one
here. For more info, click here

23
 OUR STATISTICS

MERCURY +40%
Mercury is a small planet

VENUS +55%
Venus has a beautiful name

MARS +25%
Mars is made of basalt

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here

24
 HEALTH
04 AREAS
You can enter a subtitle here
if you need it
A BRIEF STORY
Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot, even hotter than Mercury, and its
atmosphere is extremely poisonous. It’s
the second-brightest natural object in
the night sky after the Moon
 A BRIEF STORY

01 02 03 04

SATURN MARS VENUS MERCURY

It’s composed Despite being Venus is the Mercury is the
of hydrogen red, Mars is a second planet closest planet
and helium cold place from the Sun to the Sun

27
 A PICTURE
ALWAYS
REINFORCES
THE CONCEPT
Images reveal large amounts of
data, so remember: use an
image instead of a long text.
Your audience will appreciate it
 MILESTONES REACHED

MERCURY 200 MARS 201 EARTH

Mercury is a
small planet 5 Mars is made
of basalt 8 Earth harbors
lots of life

20 VENUS 20 JUPITER 20
01 15 22
Venus has a Jupiter is a
beautiful name gas giant
 MILESTONES REACHED
20XX MERCURY
Mercury is a
small planet

20XX EARTH
Earth is the
planet with life

20XX MARS
Mars is made
of basalt

20XX VENUS
Venus has a
beautiful name

20XX JUPITER
Jupiter is a
gas giant
 OUR PROCESS

VENUS JUPITER
Venus is the second It’s the biggest planet
planet from the Sun in the Solar System

MARS SATURN
Despite being red, Saturn is a gas giant
Mars is a cold place and has several rings
 OUR PROCESS

MARS MERCURY
01 Despite being red, Mars
is a cold place
03 Mercury is the closest
planet to the Sun

VENUS
02 It’s terribly hot and it
has a beautiful name

32
 PATIENT CARE
Earth is the third planet from the Sun and the only
one that harbors life in the Solar System. This is
where we all live on
 PATIENT CARE

EARTH
It’s the planet
where we live

VENUS MARS
Venus has a PATIENT Mars is made
beautiful name of basalt

JUPITER
Jupiter is a
gas giant

34
AWESOME
WORDS
AWESOME
WORDS
MEDICAL STAFF 05
You can enter a subtitle here if you need it
 AREAS WE COVER

JUPITER CERES VENUS MARS

AREA 1

AREA 2

AREA 3

AREA 4

38
 AREAS WE COVER
SURGERY CLINICS

MERCURY MARS JUPITER EARTH

Mercury is a Mars is made Jupiter is a It’s the planet
small planet of basalt gas giant where we live

● Subarea 1 ● Subarea 1 ● Subarea 1 ● Subarea 1

● Subarea 2 ● Subarea 2 ● Subarea 2 ● Subarea 2
● Subarea 3 ● Subarea 3 ● Subarea 3 ● Subarea 3

39
 AREAS DESCRIPTION

AREA 1 Mercury is a small planet

AREA 2 Saturn has several rings

AREA 3 Mars is made of basalt

AREA 4 Venus has a beautiful name

AREA 5 Jupiter is a gas giant

40
 SERVICES

MERCURY VENUS MARS

Mercury is the closest Venus is the second Despite being red,
planet to the Sun and planet from the Sun. Mars is actually a cold
the smallest one in the It’s hot and has a place. It’s full of iron
Solar System poisonous atmosphere oxide dust
 SERVICES

SATURN VENUS MARS

It’s composed It’s the second Despite being red,

ABOUT of hydrogen planet from the Mars is actually a
and helium Sun and is hot cold place

MED
STAFF 241 154 85

42
 OUR LOCATIONS

MERCURY
Mercury is a
small planet

VENUS
Venus has a
beautiful name

MARS
Mars is made
of basalt

43
KEY ACCOMPLISHMENTS
2021
● You can list your accomplishments here
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● You can list your accomplishments here
● You can list your accomplishments here

2022
● You can list your accomplishments here
● You can list your accomplishments here
● You can list your accomplishments here
● You can list your accomplishments here

44
 KEY ACCOMPLISHMENTS

MAIN GOALS IN 20X 20X 20 20X 20X 20X 20X

THE FUTURE X X XX X X X X
Venus is the second
planet from the Sun

Saturn has several and

beautiful rings

Despite being red, Mars

is actually a cold place
 95%
Mercury is the closest planet to the Sun and the
smallest one in the Solar System—it’s only a bit
larger than the Moon
A PICTURE IS WORTH
A THOUSAND WORDS
 06
INSTITUTION
You can enter a subtitle here if you need it
 INNOVATIONS
OUR INNOVATIONS
Mercury is the closest planet to the Sun and
the smallest one in the Solar System

VACCINES DIABETES CANCER

Venus has a beautiful Despite being red, Jupiter is a gas giant
name, but also very Mars is actually a very and the biggest planet
high temperatures cold place in the Solar System

49
 INNOVATION STATUS

OUR ANNUAL PROGRESS

FROM 10% TO 60%
Mercury is the closest planet to
the Sun and the smallest one in
the Solar System—it’s only a bit
larger than the Moon

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paste the new one here. For more info, click here

50
 IMPROVEMENTS

VENUS MARS JUPITER

Venus has a beautiful It's full of iron oxide Jupiter is a gas giant
name, but also very dust, which gives the and the biggest planet
high temperatures planet its reddish cast in the Solar System

MERCURY SATURN NEPTUNE

Mercury is the closest Saturn is composed Neptune is the fourth-
planet to the Sun and mostly of hydrogen largest planet in the
the smallest one and helium Solar System
 IMPROVEMENTS

45% VENUS
Venus has a beautiful name, but
also very high temperatures

15% MARS
It's full of iron oxide dust, which
gives the planet its reddish cast

10% SATURN
Saturn is composed mostly of
hydrogen and helium

Follow the link in the graph to modify

its data and then paste the new one
30% NEPTUNE
Neptune is the fourth-largest
here. For more info, click here planet in the Solar System
 TESTIMONIALS
“Neptune is the farthest planet “Saturn is a gas giant and has
from the Sun and the fourth- several rings. It's composed
largest by diameter” mostly of hydrogen and helium”

JENNA DOE, 25 SUSAN BONES, 58

“Mercury is the closest planet to “Earth is the third planet from the
the Sun and the smallest in the Sun and the only one that
entire Solar System” harbors life in the Solar System”

JOHN JAMES, 36 TIMMY JIMMY, 47

 TESTIMONIALS
“Neptune is the farthest
planet from the Sun and the
fourth-largest by diameter”

JENNA DOE, 55

SUSAN BONES, 68
“Saturn is a gas giant. It's
composed mostly of
hydrogen and helium”
 TESTIMONIALS
“Mercury is the closest planet
to the Sun and the smallest
in the entire Solar System”

JOHN JAMES, 36

TIMMY JIMMY, 77
“Earth is the third planet
from the Sun and the only
one that harbors life”
 AWARDS

2000 2007 2013 2020

MERCURY VENUS MARS JUPITER

It’s the closest Venus has a Mars is actually a It’s the biggest
planet to the Sun beautiful name very cold place planet of them all

56
 AWARDS

20XX 20XX 20XX

VENUS MARS JUPITER
Venus has a beautiful It's full of iron oxide Jupiter is a gas giant
name, but also very dust, which gives the and the biggest planet
high temperatures planet its reddish cast in the Solar System

57
 OUR TEAM

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