Hypotension/Shock

Question 1

Shock =

Answer 1

= Hypoperfusion of tissues

Question 2

Signs of shock

Answer 2

Hypotension
Tachycardia
Decompensation
End-organ hypo perfusion (low UOP, MS chng)

Question 3

Types of shock

Answer 3

Hypovolemic
Cardiogenic
Septic
Anaphylactic

Question 4

Shock from: organ rupture, dissection, hemorrhage, or dehydration
Dec circulating volume; EF may inc
Hypotension, Tachycardia, Periph vasoconst

Answer 4

Hypovolemic

Question 5

Shock from: dec CO, tissue hypoxia (not 2/2 volume depletion)
MI or LV dysfxn (failure of heart pump)
Oliguria, cyanosis, pallor, clammy extrem, hypotension, tachycardia

Answer 5

Cardiogenic

Question 6

Shock from: sepsis/SIRS, tissue hypoperf
Extremes of temp
WBC extreme ends or 10% bands
Lactate elev
Young, "healthy", get pyelo

Answer 6

Septic

Question 7

Shock from: allergy to meds (abx), contrast dye, other allergens (bees)
Inc mucous memb secretions
Inc capillary permeability
Dec smooth muscle tone
Urticaria, then pallor, swelling
Tx: IVF, Epi & Solumedrol

Answer 7

Anaphylactic

Question 8

Tx: (shock in general)

(types)

Answer 8

ABC's
Hypovolemic - Fluids (blood, crystalloids)
Cardiogenic - Dopamine, LV assist device
Septic - Fluids, Abx
Anaphylactic - Epi, steroids