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Shock (assume hypovolemic until proven otherwise) (Disributive Shock…
Shock
(assume hypovolemic until proven otherwise)
Cardiogenic Shock (due to heart problems)
Uncompensated
Presentation
Tachycardic
Hypotensive
aggitated/confused
thready pulse
Compensated
Presentation
Altered LOC
Tachycardic
Decreased perfusion
Irreversable
Presentation
Extreme hypotension
Bradycardic
thready pulse
unresponsive
Treatment
Fluid Replacement
attempt to fix dysrythmias
Drug therapy if needed
Differentiate from Hypovolemic
Check for dysrythmias or signs CHF
similar to hypovolelmia, complains of chest pain or tachycardic
Shortness of breath is CC
Hypovolemic shock (little blood volume) (most common)
Compensated presentation
Altered LOC
Decreased perfusion
Tachycardic
Uncompensated presentation
Highly tachycardic
Hypotensive
thready pulse
Agitated/Confused
Irreversible presentation (extreme Hypotension)
Bradycardic
thready pulse
unresponsive
Treatment
Replace Fluid volume
IV Crystalloid Therapy
Replace lost fluid
Attempt to stop or correct the fluid loss
Obstructive Shock
Presentation
Compensated
Altered LOC
Tachycardic
Decreased Perfusion
Uncompensated
Tachycardic
Hypotension
Thready Pulse
Agitated/Confused
Irreversable (extreme Hypotension)
Unresponsive
Thready Pulse
Bradycardic
Treatment (removal of object)
ABC Support
Needle Thoractomy
Periocardiocentesis
Differentiate from Hypovolemic
Obstructions
Tension Pneumothorax
Cardiac Tamponade
Pulmonary Embolism
Disributive Shock
Neurogenic
Nervous System causes decrease in vascular tone
Anaphylactic
Sever allergic reaction causing dangerously low blood pressure and leading to lack of perfusion
Septic
Systemic allergic reaction causing widespread vascular dilation, resulting in hypovelemia
Multiple Organ Dysfunction System
Progressive dysfunction of two or more organ systems, typically sepsis.
Treatment
Neurogenic Shock - Administer Fluid while avoiding circulatory overload. Vasopressors may be indicated to cause constriction of vessels
Septic Shock - Provide Management for hypovolemia if present. Correct acid-base imbalances if possible and attempt to discover cause of sepsis
Anaphylactic Shock - Subcutaneous epinephrine for acute anaphylactic reactions. Manage airways and treat symptoms