Stroke part 4 Flashcards
4 types of Shocked!
_________
Obstructive
cardiogenic
________
hypovolemic
distributive
Loss of plasma or whole blood
hypovolemic
Blockage in vessel
Obstructive
cardiac origin/deficiency
cardiogenic shock
loss of vaso-tone;too much vasodilation
(different from the rest)
distributive
Hypovolemic,obstructive, cardiogenic shock are all due to what?
decrease in cardiac output
Distributive shock is due to total peripheral resistance
Blood volume contributes to stroke volume through what?
venous return
If you decrease blood volume you decrease venous return, decrease preload, decrease stroke volume, decrease cardiac output and then you decrease blood pressure
Causes of hypovolemic shock
Loss of whole blood (trauma)
Loss of ______ (Burns)
Loss of extracellular fluid (dehydration, vomiting, diarrhea)
plasma
Obstructive shock
mechanical obstruction of blood flow
Ultimately one of these two decrease ________ which is due to obstructive prevents the heart from filling or increase in __________(obstruction prevents the heart from pumping)
decrease preload
increase in afterload
Obstructive shock
Obstruction of blood flow out of LV–>dissecting aortic aneurysms
RV–>pulmonary embolism
increase in ______ which decreases stroke volume, decreases cardiac output, and decrease blood pressure
afterload
obstructive shock
fluid accumulates in the pericardial sac=cardiac tamponande (a form of obstruction preventing the heart from filling) decrease preload, decrease stroke volume, decrease cardiac output, decrease blood pressure
Causes of obstructive shock
which conditions increase afterload and decrease stroke volume –>
dissecting aortic aneurysms
pulmonary embolism