Shock

Question 1

What are the 3 types of shock?

Answer 1

1. Circulatory
2. Metabolic
3. Hypoxic

Question 2

What are the 3 types of circulatory shock?

Answer 2

1. Cardiogenic
2. Hypovolemic
3. Distributive

Question 3

What causes cardiogenic shock?

Answer 3

Heart failure

Question 4

What causes hypovolemic shock?

Answer 4

Blood volume decrease due to hemorrhage

Question 5

What causes distributive shock?

Answer 5

Systemic vaporization due to anaphylaxis or inflammation such as sepsis

Question 6

What is metabolic shock?

Answer 6

Cells are unable to utilize oxygen

Question 7

What causes metabolic shock?

Answer 7

Hypoglycemia
Cyanide poisoning
Mitochondrial dysfunction

Question 8

What is hypoxic shock?

Answer 8

Impaired oxygen delivery to cells

Question 9

Signs of Shock (7)

Answer 9

1. Pale guns
2. Weak pulse
3. Altered mental state
4. Decreased body temp
5. Increased/abnormal HR
6. Dyspnea
7. Dehydration

Question 10

Tx of Cardiogenic Shock: CHF

Answer 10

1. O2 supplementation
2. Diuretics
3. Inotropes
4. Vasodilators
5. +/- Fluid therapy

Question 11

Tx of Cardiogenic Shock: Pericardial Tamponade

Answer 11

1. O2 supplementation
2. Pericardiocentesis
3. +/- Fluid Therapy

Question 12

Tx of Hypovolemic Shock

Answer 12

Fluid therapy and O2 supplementation

Question 13

Tx of Septic, Neurogenic, or Anaphylactic Shock

Answer 13

1. +/- Blood culture for septic shock
2. +/- Abx for septic shock
3. +/- Corticosteroids for anaphylactic shock
4. +/- Diphenydramine for anaphylactic shock