Perfusion201 Flashcards
Causes of Hypovolemic Shock
Hemorrhage
Vomiting/Diarrhea/Urinary losses
Causes of Obstructive Shock
Pneumothorax
Tamponade
High abdominal & trans-thoracic pressures
Pulmonary embolus
Causes of Cardiogenic Shock
LV Failure
RV Failure
Dysrhythmia
Unable to adequately increase SV due to poor filling or poor contractility
Causes of Distributive shock
Sepsis
Anaphylaxis
Neurogenic
Endocrine, liver failure, toxicology
Unable to adequately increase SVR and re-direct blood to essential organs.
Clinical Signs of Shock
Altered Mentation
Skin - Poor Perfusion
Urine Output <0.5ml/kg/hr
Inodilators
Dobutamine - aBBB
Milrinone - cAMP
Isoproterenol - BBBB
Pure Vasopressors
Vasopressin
Phenylepherine - aaaa
Inopressors
Norephinepherine - aaaB
Epinephrine - aBBB
Reliable markers for fluid responsiveness
Pulse Pressure Variation
Passive leg raising test
SV Variation