Circulatory Shock Flashcards
what is circulatory shock?
circulation failure resulting in a lack of perfusion to vital organs
what are the signs of circulatory shock?
veery low blood pressure but very high respiratory rate
what 3 factors does blood pressure rely on?
heart pumping, tone of smooth muscle surrounding blood vessel, and enough blood (5L)
what happens if the tone of smooth muscle decreases?
blood vessels dilate so blood flow slows and pressure decreases
Which artery is used to detect blood pressure and o2?
carotid arteries. carotid sinuses for blood pressure and carotid bodies for partial pressure of o2
what happens when blood pressure change is detected?
carotid sinuses detect change and send signal to brainstem to tell heart to pump blood harder and faster
How is the brainstem involved in sympathetic stimulation? (2)
Increases vascular tone in vessels in limbs and abdomen, so blood is pushed to the chest and head (lungs, heart, brain). Sends signal to adrenal gland to secrete adrenaline to pump heart faster and harder
what are the three main causes of septic shock?
hypovolaemic shock, septic shock, cardiogenic shock
What causes hypovolaemic shock?
not enough fluid circulating the body. leads to low blood pressure, high reps. rate, sweating. can occur after injury - e.g. ruptured spleen so blood leaking into stomach cavity
What causes cariogenic shock?
Heart disease. insufficient at pumping blood to maintain pressure - no blood loss. fixed with meds
What causes septic shock?
bacteria in blood can release chemicals, which cause vasodilation and lead to low venous pressure so not enough blood perfused to vital organs