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, hemodynamic shock low blood pressure causing no tissue perfusion leading to organ failure
hemodynamic shock symptoms hypotension, tachycardia
management for all types of hemodynamic shock identify cause, stop progression, oxygenation is priority, intubate, trendelenburg
position to shunt blood to organs
ABCs, oxygenation, fluid replacement (not cardiogenic), vasoconstrictors
increase BP, MAP, UO - get fluid moving again
hypovolemic shock fluid loss causing low blood pressure
burns, hemorrhage, dehydration
hypovolemic management restore fluids and stop loss!! oxygenate (1) then give blood and fluids (2), then
vasopressors to increase BP
cardiogenic shock Shock caused by inadequate function of the heart, or pump failure.
the heart cannot meet the pumping demand
dysrhythmias, stenosis, MI
cardiogenic labs and dx elevated BNP, 12 lead, echo, balloon pump
cardiogenic management DO NOT GIVE FLUIDS!!!!! - the fluid is not being pumped out so it backs up into
lungs and causes death. gives meds to increase heart function and BP
inotropic meds dopamine and dobutamine
increases HR and contractility
reversal is phentolamine is extraversion occurs
vasopressors norepi
causes vasoconstriction to raise BP
reversal is phentolamine is extraversion occurs
obstructive shock caused by an obstruction that prevents an adequate volume of blood from being
distributed to the body - PE, cardiac tamponade (fluid in sac causing pressure),
tension pneumothorax
needle decompression and chest tubes to remove air from tension pneumothorax. monitor bubbling
pericardiocentesis surgical puncture to aspirate fluid from the sac surrounding the heart
chest x ray after
distributive shock intravascular fluid leaks out of vessels and there is not enough blood return to the
heart for recirculation causing low blood pressure -- LEAKY VESSELS
distributive shock types anaphylactic, neurogenic, septic