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Shock (Cardiogenic Shock (Clinical Presentations (Hypotension, Tachycardia…

- - - - Stroke volume decreased due to decrease in total circulating volume
      - Heart Rate and Cardiac output increased
      - Increase in Respiration Rate
      - Decreased Urine output
      - Anxious
    - - Absolute volume loss
        
        Caused by loss of fluid following hemorrhages, GI loss, diabetes, diuresis or fistula drainage
      - Relative volume loss
        
        Occurs when fluid moves out of vascular space into the extravascular space (third spacing)
        
        Caused by fluid shift, sepsis or internal bleeding
- - - - Decreased cardiac output
      - Increased afterload
      - Left ventricular filling pressure irregular due to obstruction
- - - - Dizziness, Chest pain, Incontinence, Swelling in lips/tongue, Wheezing or Stridor
      - Is a life threating acute reaction to drugs, chemicals, foods or vemons
      - Reaction rapidly causes vasodilation and increased capillary permeability
    - - Clinical Presentations
        
        Vasodilation
        
        Hypovolemia
        
        Hypotension
        
        Tissue hypoxia
        
        Myocardial Depression
      - Systemic-inflammartory response to suspected infection
        
        Usually caused by gram-negative or gram-positive bacteria
    - - Usually occurs after spinal cord injury at T5 or above
        
        Clinical Presentations
        
        Hypotension
        
        Bradycardia
        
        Inability to regulate body temperature
        
        Injury leads to vasodilation which causes tissue hyper-perfusion and impaired cellular metabolism
- - - - Low blood perfusion
        
        Vasodilation
        
        Heart rate increases
        
        Fluid retention within kidneys
    - - Body is no longer able to compensate
        
        Patient becomes disorientated and confused
    - - Cell death begins due to hypoxia, major organs begin failing
        
        Results in death