Possible causes of shock in an unhealthy adult
CHF Renal failure Uncontrolled HTN Uncontrolled DM Obesity Electrolyte imbalance Drug toxicity Stroke
Possible causes of shock in a pediatric patient
Trauma Chest wall injury Fluid loss Spinal cord injury Anaphylaxis Heart disease
What does cardiac output depend on?
Inotropy, chronotropy, and preload
Mean arterial pressure (MAP)
Function of total CO and total PVR
Represents average pressure in the vascular system that perfumes the tissue
Reflects the relative time spent in each portion of cardiac cycle
What is the MAP formula
MAP = diastolic pressure + 1/3 pulse pressure
What are the 4 stages of shock
Vasoconstriction
Capillary and venule openings
Disseminated intravascular coagulation
Multiple organ failure
Possible causes of shock for a healthy adult
Coronary syndromes Respiratory arrest Anaphylaxis Drowning Traumatic hemorrhage Spinal cord injury Electrocution Hypothermia Toxic exposures Pulmonary embolus