Shock Flashcards

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1
Q

What is shock

A

Cells do not get nutrients to make ATP

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2
Q

Types of shock

A

Cardiogenic
Neurogenic
Septic
Hypovolaemic
Anaphylactic
Distributive

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3
Q

What is the equation for mean arterial blood pressure (MABP)

A

MABP = HR x SV x TPR

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4
Q

What causes anaphylactic shock

A

Total peripheral resistance falls and heart rate slows, so there is a decrease in BP

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5
Q

Treatment of anaphylactic shock

A

Adrenaline to increase HR and increase TPR, also stabilising myocytes. Oxygen and IV fluids

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6
Q

What causes hypovolaemic shock

A

Stroke volume falls, and HR and TPR increase to try and compensate

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7
Q

Treatmetn of hypovolaemic shock

A

Replace the fluid that is lost such as blood. Stop bleeding

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8
Q

What causes septic shock

A

TPR falls

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9
Q

Treatment of septic shock

A

Need to vasoconstrict vessels with pressors and fluids, give ABx

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10
Q

What causes cardiogenic shock

A

SV fall and HR falls

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11
Q

Treatment of cardiogenic shock

A

Get the heart working again which is the hardest shock to treat

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12
Q

What causes neurogenic shock

A

HR and TPR fall

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13
Q

Treatment of neurogenic shock

A

Inotropes and pressors

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14
Q

What happens in distributive shock

A

Decrease in stroke volume

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15
Q

What is distributive shock

A

Mechanical causes that are resulting in the heart being unable to pump out the stroke volume effectively

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16
Q

Two main causes of distributive shock

A

Tension pneumothorax and cardiac tamponade

17
Q

Treatment of cardiogenic shock if the aim is to restore myocardial oxygenation

A

Urgent revascularisation

18
Q

Treatment of cardiogenic shock if the aim is to restore sinus rhythm

A

Rate control with drugs or DC cardioversion

19
Q

Treatment of distributive shock

A

Let the air or fluid trapped out (which is putting pressure on the heart to prevent the SV)