Shock
Inadequate tissue perfusion
Inadequate oxygenation to the tissues
Hypovolaemic shock pathway
Loss of blood volume Decreased venous return Decreased EDV Decreased SV Decreased CO Decreased MABP Inadequate tissue perfusion
Hypovolaemic shock causes
Haemorrhagic: trauma, surgery
Non-haemorhagic: vomiting, diarrhoea, sweating
Haemorrhagic shock
Tachycardia (increased HR)
weak, fast, thready pulse (decreased SV)
Cold peripheries
Hypotension
Cardiogenic shock
Damage to the heart causes sustained hypotension Decreased cardiac contractility Decreased SV Decreased CO Decreased MABP Inadequate tissue perfusion
Cardiogenic shock causes
MI
Obstructive shock
Increased intrathoracic pressure Decreased venous return Decreased EDV Decreased SV Decreased CO Decreased MABP Inadequate tissue perfusion
Obstructive shock causes
PE
Pneumothorax (tension)
Cardiac tamponade
Neurogenic shock
Loss of sympathetic tone
Decreased CO
Decreased MABP
Inadequate tissue perfusion
Neurogenic shock causes
Spinal cord injury
Vasoactive shock
Release of vasoactive mediators Venous and arteriolar vasodilation Decreased venous return Decreased TPR Decreased CO Decreased MABP Inadequate tissue perfusion
Vasoactive shock causes
Septic shock