shock Flashcards
(22 cards)
CVP
0-6
PAP
15-25/5-15
PAOP
PCWP
6-12
CO
4-8
CI
2.5-4
SVR
800-1200
SVO2
60-80%
what are distributive shock states
septic
anaphylactic
neurogenic
only shock state with elevated PCWP
cardiogenic
only shock with high SV02
obstructive shock
distributive shocks have what type of SVR
low
CVP in obstructive shock
high
pt has CO 3, CVP 2, PCWP 6, SVR 1300 what type of shock is this
hypovolemic
pt has CI 2, CVP 6, PCWP 12, SVR 1200 what is this
cardiogenic
these shocks have low outputs in all fields
anaphylactic
neurogenic
pt has CO 4, CVP 8, PCWP 7, SVR 1300 what is this
obstructive shock
components of quick SOFA
SBP <=100
RR >=22
AMS / GCS <15
one point for each criteria met, 2 or more near onset of infection associated with greater risk of death/ICU stay
indication of epi in anaphylactic
stridor/resp distress
mtg of obstructive shock
maintain BP while imitating treatment of underlying cause
examples of obstructive shock
PE
tension pneumothorax
cardiac tamponade
obstructive valvular disease
disease of pulmonary vasculature
pt has CO 8, CVP 2, PCWP 6, SVR 700 and SVO@ 60 , what is this
septic shock
only shock with initial high CO /CI
septic shock