17 results
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Hypovolemic Shock ... Cardiogenic Shock ... #Shock #Pathophysiology ... #differential #diagnosis
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Types - Pathophysiology ... Cardiogenic Shock ... Hypovolemic Shock ... #Shock #Types #Pathophysiology ... #criticalcare #diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Warm and Dry HYPOVOLEMIC ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... Classification #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... High SVR: • Cardiogenic ... Decompensated CHF ... compression • Hypovolemic ... Treatment Goals
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... Cardiac Tamponade Hypovolemic ... #Differential #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... • Hypovolemic ... #inopressors #diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... distributive, hypovolemic ... Problem (↓ CO): • CARDIOGENIC ... #diagnosis #differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... suggests total body hypovolemia ... Revascularization, treatment ... #CHF #Shock #Cardiogenic
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Pneumothorax • Hypovolemic ... resuscitation • Cardiogenic ... #Diagnosis #Management ... #criticalcare #treatment
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
blockade S - Shock ... • Aggressive treatment ... intracellularly) • If hypovolemic ... BRASH #Syndrome #diagnosis ... #management #pathophysiology