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Shock!

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    Different Types of Shock
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  • In _____ _____, the heart cannot pump effectively due to poor myocardial contractility, leading to a decrease in stroke volume & cardiac output. This causes poor oxygen delivery to tissues.
    Cardiogenic Shock
  •  10
  • In cardiogenic shock, since the heart struggles to eject blood, blood backs up in the vascular system leading to increased pressure on the _____  _____ +  _____.
    right atrium + ventricle
  •  25
  • In cardiogenic shock, the body compensates for low perfusion by increasing ______ ________ _______ through vasoconstriction. This further increases the workload on the heart, worsening the shock state
    Systemic Vascular Resistance (Afterload)
  •  15
  • In cardiogenic shock, name types of medications to improve cardiac output?
    Afterload reducers, vasoactives, and inotropes
  •  20
  • In cardiogenic shock, will fluid administration help or hurt the patient?
    Excessive fluid administration can worsen the condition by increasing the workload on the heart and causing pulmonary edema. Administer carefully.
  •  15
  • ________ shock, causes a loss of circulating blood, reducing preload and cardiac output.
    Hypovolemic
  •  10
  • Hypovolemic shock occurs due to (name some examples)
    Blood loss - trauma, GI bleed, post-operative hemorrhage         Fluid loss- vomiting, diarrhea, burns, or diuretics
  •  15
  • Hypovolemic shock is managed by?
    fluid resuscitation - using isotonic fluids (NS or LR) or blood products.
  •  15
  • ___________ shock is characterized by abnormal distribution of blood flow due to vasodilation, which reduces SVR and impairs tissue perfusion. Can be caused by septic shock, anaphylactic shock, or neurogenic shock
    Distributive
  •  15
  • Our heart babies are particularly vulnerable to infections. In _____, widespread vasodilation reduces preload and afterload, leading to low BPs despite normal or increased cardiac output
    sepsis
  •  20
  • ________ shock occurs when the heart is unable to pump due to a physical obstruction
    Obstructive
  •  15
  • In ______ _______, the pericardial fluid exerts pressure on the heart during diastole (filling phase). As pressure increases, the heart is unable to fill, leading to decreased stroke volume and this CO.
    cardiac tamponade
  •  15
  • What are symptoms of cardiac tamponade?
    Beck's triad: hypotension (d/t impaired venous return), distended neck veins, muffled heart sounds. Pulses paradoxus. Tachycardia and cool extremities.
  •  25
  • ________ can cause obstructive shock, due to the narrowing of the aorta obstructing blood flow. This causes an increase in afterload and a decrease in perfusion below the narrowing prompting organ failure.
    Aortic coarctation
  •  15