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Shock. From French choquer" to collide withDelivery of oxygen to cells, and utilization by cells, is inadequate to meet their metabolic needs. Types. HypovolemicCardiogenicContractility: infarction, valve, ObstructivePE, Tamponade, DistributiveSeptic, NeurogenicCytotoxicCO, CN, . Hemodynam
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1. Types of Shock Paris Lovett, MD
July 2004
2. Shock From French “choquer” to collide with
Delivery of oxygen to cells, and utilization by cells, is inadequate to meet their metabolic needs
3. Types Hypovolemic
Cardiogenic
Contractility: infarction, valve,
Obstructive
PE, Tamponade,
Distributive
Septic, Neurogenic
Cytotoxic
CO, CN,
4. Hemodynamics of Shock (Invasive Measures) With hypovolemia may be no JVD.With hypovolemia may be no JVD.
5. Clinical Hemodynamics of Shock With hypovolemia may be no JVD. In Neurogenic, HR may be decreased.With hypovolemia may be no JVD. In Neurogenic, HR may be decreased.
6. First steps Give volume
Raise CVP to 8-12 mmHg (higher on vent)
Produce JVD, Crackles, or O2Sat = 90%
Recognize and fix obstructive shock
Stethoscope, CXR, Sonography
Vaso-active agents directed at specific shock scenario