Types of Shock

Question 1

List the suggestive features of shock

Answer 1

Tachycardia 
Hypotension 
Altered mentation 
Oliguria
Cool and clammy skin 
Weak peripheral pressure

Question 2

A life-threatening condition of organ dysfunction resulting from tissue hypoxia due to decreased oxygen delivery, increased oxygen consumption, and/or defective oxygen utilization.

Answer 2

Shock

Question 3

Determine what type of shock:
Decreased CVP, PCWP, SVP
Increased CO

Answer 3

Distributive Shock

Question 4

Determine what type of shock:
Increased SVP
Dec CVP, PCWP, CO

Answer 4

Hypovolemic

Question 5

Determine what type of shock:
Decreased CO
Increased CVP, PCWP, SVP

Answer 5

Cardiogenic

Question 6

Determine what type of shock:
Increased SVP and CVP
Decreased CO
Increased or decreased PCWP

Answer 6

Obstructive

Question 7

Characterized by reduced CO due to an extracardiac obstruction

Answer 7

Obstructive Shock

Question 8

Characterized by reduced CO due to a primary cardiac problem

Answer 8

Cardiogenic

Question 9

Characterized by reduced CO due to reduced preload

Answer 9

Hypovolemic

Question 10

Characterized by reduced CO due to reduced preload

Answer 10

Distributive

Question 11

Determine what stage of shock:

Perfusion and oxygen delivery are relatively normal despite the insult.

Answer 11

Preshock or compensated shock

Question 12

Determine what stage of shock:

Perfusion and oxygen delivery are abnormal.

Answer 12

Shock or decompensated shock

Question 13

Determine what stage of shock:

Permanent organ dysfunction and Progression to multisystem organ failure

Answer 13

Irreversible shock

Question 14

Determine what stage of shock:
No overt signs of organ dysfunction ± mild laboratory signs of organ dysfunction (e.g., mildly elevated creatinine, troponin, or lactate)

Answer 14

Preshock or Compensated Shock

Question 15

Determine what stage of shock:
No overt signs of organ dysfunction ± mild laboratory signs of organ dysfunction (e.g., mildly elevated creatinine, troponin, or lactate)

Answer 15

Preshock or Compensated Shock

Question 16

Determine what stage of shock:

Overt signs of organ dysfunction are present.

Answer 16

Shock or decompensated shock

Question 17

Determine what stage of shock: Reversible with interventions

Answer 17

Preshock or compensated shock

Shock or decompensated shock

Question 18

History of shock: Identify what type and related to what.

Severe diarrhea

Answer 18

Hypovolemic shock due to gastrointestinal loss

Question 19

History of shock: Identify what type and related to what.

Acute-onset dyspnea or chest pain and a history of malignancy, inactivity, or leg swelling

Answer 19

Obstructive shock due to pulmonary embolism

Question 20

History of shock: Identify what type and related to what.

Presyncope or syncope

Answer 20

Cardiogenic shock due to arrhythmias

Question 21

History of shock: Identify what type and related to what.

Exertional chest pain and dyspnea

Answer 21

Cardiogenic shock due to myocardial infarction

Question 22

History of shock: Identify what type and related to what.

Hives, dyspnea, and facial edema

Answer 22

Distributive shock due to anaphylaxis

Question 23

History of shock: Identify what type and related to what.

Hives, dyspnea, and facial edema

Answer 23

Distributive shock due to anaphylaxis

Distributive shock due to pneumosepsis

Question 24

History of shock: Identify what type and related to what.

Fever and productive cough

Answer 24

Distributive shock due to pneumosepsis