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shock (cardiogenic heart pump (signs and symptoms (Chest pain, Tachycardia…
shock
cardiogenic 
signs and symptoms
Chest pain, Tachycardia, increased breathing,sweating,pale skin, urinating less or not at all
causes
impaired electrical symptoms,disease or injury, inadequate heart function
treatments
if lungs are clear, protocols allow, administer a fluid challenge of 200ml which will increase preload
consider CPAP
what is it?
= can not get blood to the rest of body
hypovolemic
causes
loss of blood
signs and symptoms
rapid, weak pulse, low blood pressure, change in LOC,
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treatments
control external bleeding, provide fluid resuscitation en route, potential use of vasopressors to maintain blood pressure
obstuctive
what is it?
block in the body
signs and symptoms
decreased lung compliance, unilateral decreased or absent breath sounds, JVD, muffled heart tones
causes
mechanical ostuction of the cardiac muscle causing a decrease CO ex: 1.tension pneumothorax 2. cardiac tamponade
treatments
dependent on cause: administer fluid at KVO rate, consider chest decompression
distributive
Anaphylactic
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signs and symptoms
can develop within seconds; mild itching or rash, burning skin, vascular dilation, generalized edema, coma, rapid death
treatments
determine cause of anaphylaxis; administer epinephrine IM or a vasopressor, administer fluid at a KVO rate, consider bronchodilator or antihistamine
septic
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signs and symptoms
warm skin, tachycardia, low blood pressure, obvious signs of infection to an incision site
treatments
administer fluid blouses to maintain radial pulses, consider sepsis alert program if this protocol exist in your region, consider medications depending on the existence of warm versus cold shock
neurogenic
what is it?
nervous system injury
causes
cervical or thoracic spinal injury, which causes widespread blood vessel dliation
treatments
administer warmed IV fluids to maintain radial pulses, consider vasopressors,steroids, or vagal blocker
signs and symptoms
bradycardia or normal pulse, low blood pressure, signs or neck injury
stages of shock
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uncompensated
prolong
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irreversible
decreased RR
organ failure
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