Shock + Sepsis

Question 1

What is the base problem of shock?

Answer 1

-Base problem of shock is we are not getting o2 to the cells – we are not getting O2 out to our body cells

-inadequate tissue and organ perfusion

Question 2

With shock what does the hypoperfusion of the tissues lead to?

Answer 2

Hypoperfusion – we are going to revert to anaerobic
metabolism, which creates an increase in lactic acid (the most critical marker is our latic level) – leads to severe acidosis – throws us into metabolic acidosis

Question 3

What is hypovolemic shock?

Answer 3

Hypovolemic:
-We don’t have enough gas – blood – not enough blood going around into the body – can also be caused from dehydration

Question 4

What is cardiogenic shock?

Answer 4

Cardiogenic
-Pump problem – the heart is unable to get as much blood going around to the body – big cause is an MI

Question 5

What is obstructive shock?

Answer 5

Obstructive
-Either have a PE (massive one) – or tension pneumothorax - happens cause we are blocking the pipes

Question 6

What is distributive (circulatory shock)? What are some examples?

Answer 6

Distributive
-Something is wrong with the pipes – relative hypovolemia – to much blood circulating
1.) Anapalatic
2.) Neurogenic
3.) Septic