Chapter 67: Shock SIRS and MODS

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Author:
p0ckysticks
ID:
257711
Filename:
Chapter 67: Shock SIRS and MODS
Updated:
2014-01-21 15:44:09
Tags:
shock
Folders:
Medical Surgical III
Description:
Exam 1 flashcards
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  1. What are the 4 Classifications of Shock?
    • Cardiogenic
    • Hypovolemic
    • Distributive
    • Obstructive
  2. When does cardiogenic shock occur?
    Cardiogenic shock occurs when either systolic or diastolic dysfunction of the pumping action of the heart results in reduced CO.
  3. What are the hemodynamic effects of cardiogenic shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase: HR, SVR, PVR, CVP, PAP

    Decrease: PP, BP, CO, SvO2/ScvO2
  4. What are the hemodynamic effects of hypovolemic shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase:  HR, SVR, PVR

    Decrease: PP, BP, CVP, PAP, PAWP, CO, SvO2/ScvO2
  5. What are the hemodynamic effects of Obstructive Shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase: HR, PVR, CVP

    Decrease: PP, BP, SVR, CO, SvO2, ScvO2

    Increase/Decrease/NO Change:  PAP, PAWP
  6. What are the 3 types of distributive shock?
    • - Neurogenic
    • - Anaphylactic
    • - Septic
  7. What are the hemodynamic effects of Neurogenic Shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase - NOTHING

    Decrease - EVERYTHING except PVR stays the same
  8. What are the hemodynamic effects of Anaphylactic Shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase - HR

    Decrease - EVERYTHING except no change in PVP
  9. What are the hemodynamic effects on septic shock?

    HR, Pulse Pressure, BP, SVR, PVR, CVP, PAP, PAWP, CO, SvO2/ScvO2
    Increase: HR, (PVR or no change)

    Decrease: PP, BP, SVR, PVR, CVP, PAWP

    Increase/Decrease/No Change - PAP, CO, SvO2/ScvO2

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