Shock Flashcards
1
Q
What is Shock?
A
Inadequate tissue perfusion
2
Q
Types of Shock?
A
Septic Haemorrhagic (Hypovolaemic) Neurogenic Cardiogenic Anaphylactic (Distributive)
3
Q
Signs of shock?
A
pallor, increased HR, prolonged cap refill, oliguria.
BP < 90mmHg
4
Q
Causes of hypovolaemic shock? (3)
A
Bleeding
Dehydration
Burns
5
Q
Causes of cardiogenic shock? (4)
A
MI
Arrythmias (VT, AF),
Cardiac tamponade
Tension pneumothorax
6
Q
Intital Mx of shock?
A
Oxygen IV access (fluids) ABG Bloods: FBC, U&E's, CRP, glucose, amylase, cross-match clotting Blood cultures
7
Q
Mx and investigations of cardiogenic shock?
A
Diamorphine 2.5-5mg (pain)
Investigations (ECG, U&Es, cardiac enzymes/troponin, ABG, CXR, echo, CT thorax)