Shock

Nota:

• Cardiovascular Collapse

1. Types
   1. Hypovolemic

      Nota:

      • Loss of blood or plasma volume
      1. Hemmorrhage
      2. Vomiting or Diarrhea
      3. Fluid Loss

         Nota:

         • burns/trauma
   2. Cardiogenic

      Nota:

      • Myocardial Pump Failure
      1. Intrinsic
      2. Extrinsic Obstructive
      3. Intrinsic Obstruction
   3. Septic

      Nota:

      • microbial/fungal infection
      1. Gram Positive
      2. Gram Negative
         1. LPS Endotoxin
            1. Low dose
               1. Medium Dose
                  1. Heavy dose
                     1. DIC
      3. Fungal
   4. Distributive

      Nota:

      • Imbalance b//t compartments
      1. Neurogenic
         1. Fainting

            Nota:

            • peripheral pooling
         2. Anesthetic

            Nota:

            • loss of vascular tone
         3. Spinal Cord Injury
      2. Anaphylatic

         Nota:

         • IgE mediates
         1. Systemic Vasodialation
         2. Reduced Tissue Perfusion
         3. Degranulation

            Nota:

            • Basophils/mast
            1. Bradykinin
               1. Leukotrines
                  1. Histamine
2. Symptoms
   1. Weak Rapid Pulse
   2. Tachypnea
   3. cool clammy cyanotic skin
   4. Renal Failure
   5. Septic Shock (warm flush skin)
   6. Cardiac, pulmonary, cerebral shutdown
3. Organs Affected
   1. Brain
      1. Enter text here
   2. Pancreas
   3. Heart
   4. Liver
4. Stages