Week 5 Shock and Hypertension Flashcards
what is shock
condition where circulatory system cannot provide enough blood supply to vital body organs
what is shock often caused by
low MAP
caused by any of its determinants
MAP = CO x TPR
CO = HR x SV
MAP = HR x SV x TPR
cause of hypocolaemic shock
low blood volume
cause of cardiogenic shock
heart fails to pump properly
like infarction or fibrillation
cause of anaphylactic shock
severe reaction
cause of septic shock
overwhelming bacterial infection
Haemorrhage definiton
bleeding
types of hypovolaemic
haemorrhage - blood loss
non-haemorrhage - loss of blood or plasma
causes inc diarrhoea, urinary loss, dehydration
pathophysiology of haemorrhagic/non-haemorrhagic hypovolaemia
low CO = low MAP
low SV
what is cardiogenic shock in terms of CO
a low CO, low SV, low HR
pathophysiology of cardiogenic shock
no fluid loss
low SV = low CO = low MAP
baroreceptor reflex - short term compensatory mechanism
quickly compensates for changes in MAP
and increases conduction of AVN
what is irreversible shock
where too much blood (15-20%) is lost - compensatory mechanisms are insufficient
what is hypertension
where MAP is maintained at or above 140/90 mmHg
chronically elevated BP = resets baroreceptors so BP is regulated but at a higher level