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Shock

Common causes, vitals, and treatment for diff shock types

QuestionAnswer
Shock is also called Hypoperfusion
4 main kinds of shock Hypovolemic, obstructive, distributive, and cardiogenic
Mechanism of hypovolemic shock fluid loss
Mechanism of obstructive shock something in the way + pressure building in the chest (typically trauma causes this)
Mechanism of distributive shock widespread vasoDILATION
Mechanism of cardiogenic shock the heart is failing as a pump
What main type of shock does psychogenic fall under? Distributive
What main type of shock does neurogenic fall under? Distributive
What main type of shock does septic fall under? Distributive
What main type of shock does anaphylactic fall under? Distributive
What main type of shock does hemorrhagic fall under? Hypovolemic
Septic shock Blood vessels get "leaky" and dilate = poor perfusion
Cause of septic shock Infection that spreads to the whole body
Neurogenic shock Body can't send signals due to disrupted nervous system and vasodilation
Cause of neurogenic shock Spinal cord injury that leads to whole body vasodilation
Anaphylactic shock Immune system sends out histamines that causes vasodilation
Cause of anaphylactic shock Exposure to allergen which causes severe allergic reaction which affects at least 2 body systems
Psychogenic shock Stress causes nervous system reaction leading to vasodilation
Cause of psychogenic shock Psychological/emotional reaction to a stressor causes the body's vessels to dilate and temporarily lose consciousness
Hemorrhagic shock Loss of blood
Cause of hypovolemic shock burns, blood loss, sweating, diarrhea, emesis, urination
Cause of distributive shock infection, allergic reaction, emotional reaction, spinal cord injury, etc
Cause of obstructive shock commonly trauma (cardiac tamponade, tension pneumothorax), but could also be things like pulmonary embolism or pericarditis
Cause of cardiogenic shock Myocardial infarction (heart attack) or Congestive Heart Failure
Treatment for cardiogenic shock High flow oxygen, heat blanket, and rapid transport
Treatment for hypovolemic shock High flow oxygen, heat blanket, rapid transport, and calling ALS to give fluids
Treatment for distributive shock High flow oxygen, rapid transport, and heat blanket
What type of shock do we not give a heat blanket for? Septic shock
Treatment for obstructive shock High flow oxygen, rapid transport, heat blanket, and calling ALS for interventions like finger thoracotomy or needle decompression
What type of shock do we give an Epi-pen? Anaphylactic shock
SCTM for distributive shock flushed/red, warm, dry
SCTM for obstructive shock pale, cool, diaphoretic
SCTM for cardiogenic shock pale, cool, diaphoretic
SCTM for hypovolemic shock pale, cool, clammy/diaphoretic
 

 



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