425 Exam 2
Hemodynamics for Hypovolemic shock (low or high)
BP
HR
PCWP
CVP
CO/CI
SVR/I
BP: Low
HR: High
PCWP: Low
CVP: Low
CO/CI: Low
SVR/I: High
Hemodynamics cariogenic shock
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: High
PCWP: High
CVP:High
CO/CI: Low
SVR/I: High
,Hemodynamics anaphylactic shock
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: High
PCWP:Low
CVP: Low
CO/CI: Low
SVR/I: Low
Neurogenic shock hemodynamic values:
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: Low
PCWP: Low
CVP: Low
CO/CI: Low
SVR/I: Low
Septic shock hemodynamic values
BP:
HR:
PCWP:
CVP:
CO/CI:
SCR/I:
,BP: Low
HR: High
PCWP: Low
CVP: Low
CO/CI: Low/High
SCR/I: Low
Obstructive Shock Values
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/1:
BP: Low
HR: High/low
PCWP:Low
CVP: Low
CO/CI: Low
SVR/1: High/Low
Distributive shock includes (3)
Neurogenic
Anaphylactic
Septic
4 stages of shock
Initiation/Initial
Compensatory
Progressive
Refractory/ Irreversible
, Initial stage clinical manifestations
Occurring on a cellular level- not clinically apparent
Durring the compensatory stage the body is....
Trying to maintain homeostasis (neural, biochemical, and hormonal activation)
Compensatory stage S/S (7)
Hypotension
Tachycardia
Restlessness
Anxious
Confused or AO4
Decreased GI motility
Skin pale or warm
Durring the compensatory stage BP may
normalize or be slightly high due to aldosterone secretion or effective
compensation- example: warm sepsis.
Activate of RASS durring the compensatory stage due to
Sodium and water retention
Durring the progressive stage the compensatory mechanism
Begins to fail
Hemodynamics for Hypovolemic shock (low or high)
BP
HR
PCWP
CVP
CO/CI
SVR/I
BP: Low
HR: High
PCWP: Low
CVP: Low
CO/CI: Low
SVR/I: High
Hemodynamics cariogenic shock
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: High
PCWP: High
CVP:High
CO/CI: Low
SVR/I: High
,Hemodynamics anaphylactic shock
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: High
PCWP:Low
CVP: Low
CO/CI: Low
SVR/I: Low
Neurogenic shock hemodynamic values:
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/I:
BP: Low
HR: Low
PCWP: Low
CVP: Low
CO/CI: Low
SVR/I: Low
Septic shock hemodynamic values
BP:
HR:
PCWP:
CVP:
CO/CI:
SCR/I:
,BP: Low
HR: High
PCWP: Low
CVP: Low
CO/CI: Low/High
SCR/I: Low
Obstructive Shock Values
BP:
HR:
PCWP:
CVP:
CO/CI:
SVR/1:
BP: Low
HR: High/low
PCWP:Low
CVP: Low
CO/CI: Low
SVR/1: High/Low
Distributive shock includes (3)
Neurogenic
Anaphylactic
Septic
4 stages of shock
Initiation/Initial
Compensatory
Progressive
Refractory/ Irreversible
, Initial stage clinical manifestations
Occurring on a cellular level- not clinically apparent
Durring the compensatory stage the body is....
Trying to maintain homeostasis (neural, biochemical, and hormonal activation)
Compensatory stage S/S (7)
Hypotension
Tachycardia
Restlessness
Anxious
Confused or AO4
Decreased GI motility
Skin pale or warm
Durring the compensatory stage BP may
normalize or be slightly high due to aldosterone secretion or effective
compensation- example: warm sepsis.
Activate of RASS durring the compensatory stage due to
Sodium and water retention
Durring the progressive stage the compensatory mechanism
Begins to fail