Shock

Question 1

Define shock

Answer 1

inadequate tissue perfusion

Question 2

what are the 3 main categories of shock

Answer 2

hypovol, cardiogenic (heart/pump failure), vasodilation

Question 3

What can cause vasodilation problems?

Answer 3

anaphylaxis, neurogenic, sepsis

Question 4

What is the definition of hypotension

Answer 4

SBP <90 or 20 below norm

Question 5

what are the pitfalls of the definition of hypotension

Answer 5

may not know patients normal bp, young and previously fit, elderly, drugs

Question 6

What happens in hypovol shock

Answer 6

inadequate vol, low co, svr and tachycardia as comp

Question 7

what appears clinically in hypovol shock

Answer 7

cold, clammy, tachy, inc crt, empty veins

Question 8

What happens in hf shock

Answer 8

fall in co, inc svr and tachy as comp

Question 9

what appears clinically in hf shock

Answer 9

cold, clammy, tachy, inc crt, raised jvp

Question 10

What appears clinically in vasodilation shock

Answer 10

warm, dry, tachy, low crt, bounding pulse