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1. Shock · Life-threatening condition
· Results from inadequate tissue perfusion
· Inability of heart to meet body's oxygen demand ’multi-organ failure ’death
2. Shock (Patho) · Cells swell, membrane becomes leaky
· Na⁺/K⁺ pump fails
Electrolyte imbalance + toxin buildup
Leads to organ failure
3. Requirements for · Effective cardiac pump
Adequate Perfu- · Intact circulatory system
sion · Sufficient blood volume
· If one fails ’cellular hypoxia ’cell death ’organ failure ’death
4. Anaerobic me- Lack of blood supply (oxygen)
tabolism
5. Cardiogenic Heart fails to pump blood out
Shock · Myocardial infarction
· Cardiomyopathy
· Valvular heart disease
· Ventricular rupture
· Congenital heart defects
· Papillary muscle rupture
6.
, NSG 4100 Shock
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Cardiogenic · Chest pain
Shock (S/S) · Heart murmur
7. Hypovolemic Heart pumps well, but not enough blood volume to pump
Shock · Acute hemorrhage
· Dehydration (vomiting/diarrhea)
· Overuse of diuretics
· Burns
· Pancreatitis
8. Hypovolemic · Pale
Shock (S/S) · Cool skin
· “urine output
9. Distributive Heart pumps well but there is a peripheral vasodilation
Shock · Sepsis
· Anaphylaxis
· Neurotrauma
· Spinal cord trauma
· Spinal anesthesia
10. Obstructive Heart pumps well, but the outflow is obstructed
Shock · Pulmonary embolism
, NSG 4100 Shock
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· Cardiac tamponade
· Tension pneumothorax
· Dissecting aortic aneurysm
11. Cardiovascular · “Hypotension (“BP)
(S/S) · ‘Tachycardia (‘HR)
· “Weak pulse
· “Oliguria (reduced urine output)
12. Respiratory (S/S) Rapid, shallow breathing
· Dyspnea (shortness of breath)
· Cyanosis (bluish tint to the skin)
13. Neurological · Confusion
(S/S) · Disorientation
· Anxiety
· Agitation
· Weakness
· Dizziness
14. Gastrointestinal · N/V
(S/S) · Abdominal pain
· Diarrhea
15. Septic shock (S/S) · Fever
· ‘WBC
16. A patient is di- Monitor for dysrhythmias
agnosed with hy-