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SHOCK

The goal of the cardio-pulmonary system is to deliver O2 to the body


Shock is a state of vital organs not receiving adequate O2

3 Main Types of Shock


Hypovolemic - Low volume
Cardiogenic - Broken pump (heart)
Septic - Immune response interferes with vascular tone

Normal Oxygen Delivery System

Non Vital organs

Vital organs

With each type of shock a different portion of the O2 deliver system is effected:
Hypovolemic - The initial insult is low blood volume

Decreased Temp
Low Blood Volume
Decreased CO
Increased HR
Decreased BP Non Vital organs

Increased SVR
Decreased CVP-Preload

Vital organs

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SHOCK
Hypovolemic Shock Stages:
Class I: 500-750 ml loss Class III: 1500-2000 ml loss
Class II: 750-1500 ml loss Class IV: >2000 ml

Cardiogenic - Initial insult is pump failure Decreased Temp

Decreased CO
Increased HR
Decreased BP Non Vital organs

Increased SVR
Increased CVP-Preload

Vital organs

Septic - Immune response (inflammation) initiates systemic vasodilation


Increased Temp

Increase CO (early)
Increased HR (early)
Decreased BP Non Vital organs

Decreased CVP-Preload

Decreased SVR Vital organs

Comparison of Different Types of Shock


Hypovolemic Cardiogenic Septic
CO Initial Insult (early)
HR (early)
SVR Initial Insult
EF
PAOP (L Atria)
CVP R Preload Initial Insult
BP
Temp

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