SHOCK

Question 1

C-H-O-D

Answer 1

Types of Shock

Cardiogenic
Hypovolemic
Obstructive
Distributive

Question 2

Cardiogenic Shock causes

Answer 2

Myocardial Infarction
Arrhythmias
Aortic or mitral valve insufficiency
OD

TX:
Rapid transport
O2
Epi
Aspirin (MI)
Nitro (angina, edema, BP)
OD antidote
Therapeutic hypothermia

Question 3

Hypovolemic Shock causes

Answer 3

GI loss
Hemorrhage
Burns
Renal Loss
Third space Loss (pancreatitis)

TX:
Rapid transport
O2 w/ end tidal
Fluids
Epi
Warmth

Question 4

Obstructive Shock causes

Answer 4

Tension pneumothorax
Pulmonary embolism
Pericardial tamponade
Constrictive Pericarditis
Restrictive Cardiomyopathy

TX:
Rapid transport
02
Needle decompression
Fluids
Epi
Warmth

Question 5

Distributive Shock causes
(Warm Shock)

Answer 5

Sepsis
Anaphylaxis
OD
Neurogenic

TX:
Rapid transport
O2
Fluids
Epi
warmth

Question 6

Compensated Shock

Answer 6

-Agitation, anxiety, restlessness
-Impending doom
-Normal to slightly increased HR
-Weak, rapid (thready) pulse
-Clammy (cool, moist) skin
-Pallor w/ cyanotic lips
-Delayed cap refill (infants & peds)
-BP is maintained
-Tachypnea
-SOB
-Nausea/vomiting
-Thirst & oliguria

Question 7

Decompensated

Answer 7

-Anxiety or ALOC
-Impending cardiac arrest
-Dilated pupils
-Hypotension
-Labored or irregular breathing
-Thready or absent peripheral pulses
-Ashen, mottled, pale, cool, clammy or cyanotic skin

Question 8

Modified qSOFA (or quickSOFA) for Sepsis

Answer 8

Respiratory rate greater than 22 breaths/min

Systolic BP less than 90 mm Hg

ALOC