Presentation Hemorrage

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HEMORRAGE

MR . DANIYAL AHMED
BS-(HEALTH-TECHNOLOGY)
7TH SEMESTER
SARHAD UNIVERSTY PESHAWAR
HEMORRAGE OVERVIEW
• What is Hemorrage?
• A hemorrage is a loss of blood from
a demage blood vessel.The
bleeding can be "trapped" inside
your body (internal hemorrage ).Or
it can flow outside of your body
(external hemorrage) from a wound
or body opening (orifice). The blood
loss can be minor major.
TYPERS OF
HEMORRAGE
You have blood vessels throughout your entire body, so there are many
different types of hemorrages. Some examples include:
ACCIDENDAT HEMORRAGE:
Accidental hemorrage occurs in road accident and industrial accidents, which
are very common in the developed and developing countries. Accidental
hemorrage is of two types:
1) Primary hemorrage: primary hemorrage are occurs immediately after the
accident.
2) Secondary hemorrage: secondary hemorrage which takes place
sometime(about few hours)after the accident.
CAPILLARY HEMORRAGE:
Capillary hemorrage is the bleeding due to the rupture of blood vessels,
particularly capillaries. It is very common in brain (cerebral hemorrage) and
heart during cardiovascular diseases. The rupture of the capillary is followed
by spilling of blood into the surrounding areas.
HEMOTHORAX: This is when blood collects in the space between your lungs
and rib cage (pleural space). It can compress your lungs and cause difficulty
breathing and chest pain.
INTRACRANIAL HEMORRAGE (brain bleed): This uncontrolled bleeding
inside your brain are with the layers between brain your skull. It's called
hemorragic stroke when the bleeding is in your brain. This kind of stroke is
speecially severe and can get worse qucikly. It's differtent from an schemic
• SUBARACHNOID HEMORRAGE(SAH):
•This is bleed in the aera between your and thin
tissues that cover protect it. SAH is a medical
emergency.
• SUBCONJUNTIVAL HEMORRAGE:
•This is bleeding in the whites of your eye. Tjis
blood is trapped in your conjuntiva. It's one of the
few types of hemorrages that usually aren't
serious.
•INERTNAL HEMORRAGE (BREUSES):
•(bleeding under your skin) are also example of
hemrrage (usually minor). Another related word is a
hematoma – a pooling of blood the tissues.
COMPENSATORY EFFECTS
After hemorrage, series of compensatory reactions
develop in the body to cope up with the blood loss.
Compensatory effects of hemorrage are of two types:
• Immediate compensatory effects.
• Delayed compensatory effects.
SYMPTOMS AND CAUSES
• What are the symptoms of hemorrage?
• The way hemorraging makes you feel varies a lot depending on
where it is how severe it is.
• Healthcare providers consider upto 15% of blood volume loss as a
class | hemorrage. People with this blood loss generally don't have
symptoms.
• A class || hemorrage is a loss of 15 to 30% of your total blood
volume.The first signs of this level of blood loss may include:
• Dizziness or lightheadedness (due to low blood pressure).
• Fatiuge and weakness.
• Nausea and vomiting.
• Shortness of breath(dyspnea) and increased breathing rate.
• Lossing more then 30% of your total blood volume can leads to
severe sypmtoms and complications, like:
• Confusion
• Seizures
• Loss of consciousness
• Hypovolumic shock
• Specific symptoms of internal hemorrage in certain areas of your
body include;
• HEAD: sudden onset severe headache, vission change , confusion
and weakness on one side of your body.
• CHEST: Difficulty breathing, chest pain and coughing up blood.
• ABDOMEN: Swelling or a feeling of fullness, abdominal bruising and
bloodyvomit, pee or poop.
• BONES, JOINTS AND MUSCLES: bruising, swelling and pain.
Increased pressure in tissues due to bleeding in a space is a medical
emergency. It can blood vessels, leading to permanet loss of function.
HOW DO YOU KNOW IF YOU ARE
HEMORRAGING
• Sometimes, it can be hard to kwon how much blood loss is too much.
• For example, nosebleedings are common and often harmless.
But if the bleeding is from a major blood vessle or artery, it
can be severe and difficult to stop. The same goes for
postpartum vaginal bleeding is a sign of postpartum
hemorrage, which can be life-thratending.
• The best things you can do are to be aware of your body and
symptoms and to always seek medical help if you're bleeding
too much. Familiarize yourself with the symptoms of excessive
blood loss, like dizziness, fatigue and breathing issues.
WHAT CAUSES HEMORRAGES
• Damage to one or more blood vessels can lead to a hemorrage. The
severity of a hemorrage often depends on where it is in your body and how
big the blood vessel is.
• Many conditions and situations cause a hemorrage or significantly increase
your risk for one, including:
• ALCOHAL USE DISORDER: This is a significant risk factor for
subarachnoid hemorrage.
• BLOOD CLOTTING DISORDER: like antiphospholipid syndrome. Blood
disorder, like inherited hemophillia and Von Williebrand disease.
• CANCER: Certain medications, like warfarin, aspirin (including baby
aspirin), clopidogrel and apixaban.
• Certain vascular (blood vessel) diseases, like hereditary hemorragic
telangiectasia and aneurysms.
• Complications from medical procedures, like surgery.
• Damage to an internal organ, like an ulcer in your stomach from
painkillers like ibuprofen
• Injuries, like cuts, long bone fractures or traumatic brain injury.
• Trauma, like gunshot or knife wounds.
• Viral hemorragic fevers. These are a group of illnesses caused
by viruses that damage your blood vessels and can cause
severe bleeding. Examplrs include, Ebola, dengue fever, Mar
burg and yellow fever.
DAIGNOSIS AND TESTS

• Healthcare providers diagnose based on symptoms (like


dizziness) and signs (high heart rate and low blood
pressure). The next steps involve finding its location and
what's causing it. While external bleeding is often
obvious, internal bleeding can be more difficult to find
• A provider will do a physical exam and assess your
symptoms and medical histroy. They may need to do
imaging and lab tests.
MANAGEMENT AND TREATMENT
• Treatment for a hemorrage depends on:
• Where it is and if it's internal or external.
• Its severity.
• The underlying cause
• If you have other condition or injuries.
• If there's an unknow cause and/or the bleeding it severe, you 'll need
treatment in a hospital. your healthcare team will find the cause and
appropirately.you may need:
• SURERY
• Vitamin k injection (to help stop bleeding if it'S caused by medication like
warfarin).
• Iv fluids
• First aid for external hemorrage
• You may be able to provide first aid for some – or yourself – in cases of
severe external bleedind. Follow steps:
• Call to ressue or local emergency services.
• Lay the person down. If their limb is injured, raised it above the level
of their heart, if possible.
• If you have access to medical supplies, cover the wound with sterile
gauze or clean cloth. Have the person apply direct pressure to the
wound with their hand(s). If thet can't, do it yourself .if an object is
embedded in the wound, don't remove it. Apply pressure around it.
• Use tourniquet as a last restore for severe bleeding only.
PROGNOSIS

• If you have a hemorrage, your prognosis(outlook) depend


on several factors, like
• The kind of hemorrage.
• Its severity
• How quickly you got Rx.
• Quick medical treatment is key to better outlook. Once
you receive treatment, your healthcare team will give you
a better idea of what to expect going forward.
POSSIBLE COMPLICATION OF
HAMORRAGE
• Complication of hemorrage happen due to decreased blood flow to you
organs. This cab ultimately leads to tissue and cell death, causing
complication like:
• Organ failure
• Seizures
• Coma
• Death
• Hemorrage is a leading causing of potentially preventable death,
especially in people who have trauma injuries.
• Specific types of hemorrage can lead to permanet brain damage and
neurological issues. Postpartum hemorrage can cause sheehan sydrome,
which is damage to your pituitary gland from excessvie blood loss
• Other general complication of hemorrage include
rebleeding and complication related to hospitaliztion, like
(DVT) and infection.

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