shock Flashcards
hypovolemic shock description
significant decrease in intravascular volume by 15-30%
hypovolemic shock causes
traumatic blood loss
internal fluid shifts: edema, ascites, severe hydration
hypovolemic shock pathophysiology
decrease in intravascular volume which results in decreased venous blood return to heart and decreased ventricular filling.
hypovolemic shock s/s
impaired perfusion
thready pulses
decreased LOC
pale cool skin
hypovolemic shock hemodynamics
BP decreased
HR increased
CO decreased
SVR increased
hypovolemic shock treatment
finding causes
replace fluids or blood
vasoactive meds
O2
monitor for adverse effects of treatment
cardiogenic shcok description
the heart’s ability to contract and pump blood is impaired, and the supply of O2 is inadequate for heart and tissues
cardiogenic shock causes
direct damage to myocardium
hypoxemia or hyperglycemia causes damage
myocardial infarction
cardiogenic shock pathophysiology
decrease in SV and CO
cardiogenic shock s/s
decreased BP and tissue perfusion
chest pain
fatigue
pulmonary edema
dysrhythmias
cardiogenic shock hemodynamics
BP decreased
HR increased
CO decreased
SVR increased
cardiogenic shock treatment
treat cause
O2
pain control
lab and hemodynamic monitoring
cardiac meds
positive inotropes, vasopressors, antidysrhythmic meds
septic shock description
widespread infection in body. more than 31 million people impacted. more than 6 million people die annually
septic shock causes
any agent that causes infection
septic shock pathophysiology
inflammatory response is overwhelming. vessels vasodilated and increased capillary permeability. leak into interstitial tissues. cytokines cause clotting