Progressive stage shock
Vasodilation due to lactic acidosis
Decrease in co & bp
Hypotension
Compensatory stage shock
- in co
Symp nerve system adrenalin
+ co bp adh
Vasoconstriction
Clinical signs compensatory stage
Anxious
Tachycardia
Cool pale
-uop
Progressive stage s&s
Obtunded&stuporous
Hypotension
- cup pcwp co.
+ Svr
Carcinogenic shock s&s
Confused restless Rapid resp. Rales Rapid thready pulse Neck vein distention Narrow pulse pressure S3 s4 Hypotension Oliguria - co \+ cvp. Svr pawp
Treatment cardiogenic shock
Decreased afterload
- myocardial o2 demand
+ coronary perfusion
+ coronary output
Purpose iabp
- afterload
- myocard o2 demand
+ coronary perfusion
+ cardiac output
Iabp contraindications
Aortic insufficiency
Peripheral vascular dx
Iabp interventions
Bed <15
Assess pulses
Monitor bleeding
Septic shock warm stage
Confusion \+ co \+ rr Looking good Best abg Good bp \+uop 30 minutes to 72 hrs
Septic shock cold stage
Stuporous & obtunded - co - uop Poor abg Met acidosis Hypotension
Shock pre load. Afterload. Co
+ + -
Hypovolemic shock preload. Afterload. Co
- -
Septic (warm) preload. After load. Co.
- +
Septic (cold) preload afterload co
- -
Anaphylactic preload. Afterload. Co
Treat asystole
TEA
Transcutaneous pace
Epinephrine
Atropine(not done anymore at mccg)
Bradycardia
All trained dogs eat iams Atropine Transcutaneous pacing Dopamine Epinephrine Isoproteronol
Causes pea 5 h’s 5 t’s
Hypervolemia
Hypoxia/hydrogen ions
Hypothermia
Hyperkalemia
Tension pneumo
Thrombosis (lung heart)
Tamponade
Table toxins
Vf or pulse less vt
Epi defibrillator
Amio lido mag procainamide
Defib
Eft give
B and Ca blockers
_ &_ contraindicated in wide complex tachycardia
Ca b blockers & digoxin
Procainamide ___ co
Decreases
Verapamil &adenosine ____in widecomplex tachycardia
Contraindicated
