Shock

Question 1

types of shock

Answer 1

cardiogenic
anaphylactic
hypovolaemic
toxic shock syndrome
septic

Question 2

what is cardiogenic shock

Answer 2

failure of heart to pump -> reduced CO
defined as:
sustained -hypotension <90 systolic for >30 mins
-tissue hypoperfusion (cold peripheries, oliguria)

Question 3

what is cardiogenic shock usually a complication of

Answer 3

MI

Question 4

what is shock

Answer 4

circulatory collapse resulting in sever tissue hypoperfusion

Question 5

which organs are usually effected in shock

Answer 5

skin
brain
heart
kidneys

Question 6

treatment of shock

Answer 6

AB
C - venous access, send bloods, IV fluid 250ml boluses
monitoring

Question 7

what is monitored in shock

Answer 7

cardiac monitoring, BP monitoring (usually via arterial line)
venous pressure monitoring (via central venous pressure)
urinary catheter

Question 8

recognising shock

Answer 8

pulse weak and rapid
pulse pressure reduced
urine output reduced
low BP (but young people maintain BP v v well)

Question 9

hypovolaemic causes of shock

Answer 9

loss of blood
dehydration
burns
pancreatitis

Question 10

causes of cardiogenic shock

Answer 10

cardiac tamponade
tension pneumothorax (squishes heart)
PE (RV failure)
MI
fluid overload of preexisting poor particularly RIGHT ventricular function
mycarditis