Types of Shock
This type of shock is caused by pump failure and often presents with pulmonary edema.
What is cardiogenic shock?
Earliest vital sign change in shock.
What is tachycardia?
Elevated lactate indicates this problem.
What is tissue hypoxia/anaerobic metabolism?
First-line fluid for hypovolemic shock.
What is isotonic crystalloids (NS or LR)?
A septic patient has BP 82/50 and lactate 4.2. What do you do first?
What is start IV fluids?
This shock type causes warm, flushed skin early due to vasodilation.
What is distributive shock? (septic or anaphylactic)
A narrowing pulse pressure is an early sign of what?
What is hypovolemia?
In septic shock, SVR is typically high or low?
What is low?
First medication for anaphylactic shock.
What is epinephrine?
A trauma patient is hypotensive and tachycardic. What should you assess immediately?
What is bleeding source?
Loss of sympathetic tone after spinal cord injury causes this type of shock.
What is neurogenic shock?
Urine output less than this amount indicates poor perfusion.
In cardiogenic shock, cardiac output is high or low?
First intervention in septic shock bundle.
What is fluid resuscitation?
A patient in cardiogenic shock becomes increasingly dyspneic after fluids. What is your action?
What is stop fluids and notify provider?
Massive PE leading to right ventricular failure is what type of shock?
What is obstructive shock?
Altered LOC in shock is primarily due to decreased perfusion to this organ.
What is the brain?
Metabolic acidosis in shock is most often caused by this.
What is lactic acidosis?
Medication commonly used to increase SVR in septic shock.
What is norepinephrine (Levophed)?
Which patient do you see first?
BP 88/50 HR 120
BP 92/60 HR 98
What is BP 88/50 HR 120?
This is the most common type of shock overall.
What is hypovolemic shock?
Cool, clammy skin suggests which shock category?
What is hypovolemic or cardiogenic shock?
ScvO2 less than 70% suggests what?
What is inadequate oxygen delivery?
In cardiogenic shock with pulmonary edema, fluids are generally avoided because why?
What is risk of worsening fluid overload?
A septic patient has received 3L fluids and remains hypotensive. What is next?
What are vasopressors?