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year 3 cardiology > Shock > Flashcards

Shock Flashcards

1
Q

Cardiogenic Shock

A

Inadequate tissue perfusion primarily due to

cardiac dysfunction

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2
Q

Causes of cardiogenic shock

MI HEART

A 
MI
Hyperkalaemia
Endocarditis 
Aortic Dissection
Rhythm disturbance
Tamponade

Obstructive:
Tension pneumothorax
Massive PE

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3
Q

Mx of cardiogenic shock

A

Oxygen
IV fluids
Diamorphine + metoclopramide
Correct- arrhythmia/electrolytes/acidosis

Ix:
Bloods 
ABG
CXR
ECG
Echo
CT thorax - dissection or PE
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4
Q

Presentation of shock

A

Pale, sweaty, cyanosed, distressed
Cold clammy peripheries
↑RR ± ↑HR
Pulmonary oedema

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5
Q

Cardiac tamponade causes

A
  • Trauma
  • Lung/breast Ca
  • Pericarditis
  • MI
  • Bacteria (e.g. TB)
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6
Q

Beck’s triad

A

Hypotension
↑JVP
Muffled heart sounds

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7
Q

Tamponade Ix

A

Echo: diagnostic
CXR: globular heart

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8
Q

Mx of tamponade

A

Pericardiocentesis

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9
Q

Presentation of cardiac tamponade

A

Dyspnoea
Tachycardia
Absent Y descent on JVP
Pulseless paradox

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year 3 cardiology (11 decks)

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