Shock Effect on Circulatory System Flashcards by Lauren Chorny

Q

hypovolemic shock

A

intravascular volume loss
hemorrhagic
fluid loss

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Q

hypovolemic shock on preload

A

decreased PCWP/JVP

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Q

Pre-Load

A

PCWP (pulmonary capillary wedge pressure)

JVP (jugular venous pressure)

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Q

Pump function

A

CO

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Q

After-Load

A

SVR

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Q

Perfusion

A

O2 sat

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Q

hypovolemic shock on pump function

A

decreased CO

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Q

hypovolemic shock on afterload

A

increased SVR

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Q

hypovolemic shock on perfusion

A

decreased O2 sat

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Q

hypovolemic shock tx

A

fluids

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Q

hypovolemic shock overview

A

decreased PCWP
decreased CO
increased SVR
decreased O2 sat

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Q

cardiogenic shock

A

arrhythmia
AMI, valve failure
cardiomyopathy
pericarditis/PE

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Q

cardiogenic shock on pre-load

A

increased PCWP/JVP

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Q

cardiogenic shock on pump function

A

decreased CO

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Q

cardiogenic shock on afterload

A

increased SVR

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Q

cardiogenic shock on perfusion

A

decreased O2 sat

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Q

cardiogenic shock overview

A

increased PCWP
decreased CO
increased SVR
decreased O2 sat

Q

cardiogenic shock tx

A

dobutamine

Q

distributive shock

A

vasodilatory - dramatic decrease SVR

septic shock/SIRS/TSS
anaphylaxis
drug/toxin
addisonian crisis

Q

distributive shock on pre-load

A

decreased PCWP/JVP

Q

distributive shock on pump function

A

increased CO

Q

distributive shock on afterload

A

decreased SVR

Q

distributive shock on perfusion

A

increased O2 sat

Q

distributive shock tx

A

NE, epi, phenylephrine, DA

obstructive shock

tension pneumothorax tamponade PE

obstructive shock on pre-load

increase PCWP/JVP

obstructive shock on pump function

decreased CO

obstructive shock on afterload

increase SVR

obstructive shock on perfusion

decrease O2 sat

obstructive shock tx

thoracostomy, pericardiocentesis

neurogenic shock on pre-load

PCWP decrease

neurogenic shock on pump function

CO decrease

neurogenic shock on afterload

decrease SVR

neurogenic shock on O2 sat

decrease

anaphylactic shock on preload

decrease PCWP

anaphylactic shock on pump function

decrease CO

anaphylactic shock on afterload

decrease SVR

anaphylactic shock on O2 sat

decrease

septic shock on preload

decrease PCWP

septic shock on pump function

increase CO

septic shock on afterload

decrease SVR

septic shock on O2 sat

increase