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Path 370 Chapter 20 Notes

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This is a comprehensive and detailed note on Chapter 20; shock , examples,with it's signs and symptoms included. *Essential!! *For effective study!!

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Chapter 20
 Signs and symptoms of ALL shocks including neurogenic and anaphylactic shock
Types of shocks Signs/Symptoms
Cardiogenic Shock – occurs  Increased heart rate/vascular resistance
primarily as a result of  Cardiac output decrease
severe dysfunction of the  Systolic blood pressure (DOWN)
left, right, or both  Diastolic blood pressure (UP)
ventricles that results in (book)
inadequate cardiac
pumping
Obstructive Shock (3  Characterized by manifestations of right sided heart
types) – develops when failure
the heart is prevented (book)
from pumping because of
a mechanical obstruction
to blood flow.
Hypovolemic Shock –  Severe amount of the blood loss
results from inadequate (book)
circulating blood volume
precipitated by
hemorrhage, burns,
dehydration, or leakage of
fluid into interstitial spaces
Distributive Shock (3  Depends on type of distributive shock
types) – an abnormally
expanded vascular space
by excessive vasodilation.
Neurogenic Shock (often  Low blood pressure from irregular circulation
transitory) – may result  Bradyarrhythmia
from depression of the  Hypotension
vasomotor center in the  Flushed warm skin
medulla or from (journal)
interruption of
sympathetic nerve fibers
in the spinal cord.
Septic shock – results from  High cardiac output
a severe systemic  Warm extremities
inflammatory response to (book)
infection.
Anaphylactic shock – result  clammy skin
of excessive mast cell  breathing difficulties
degranulation in response  fast heart-beat
to antigen (allergy)  wheezing

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