Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 • End-organ malperfusion • Lactate > 1.5 Distributive: • High CO / Low SVR • Sepsis, Anaphylaxis, Adrenal Insufficiency, Liver Failure, Toxins/Medications, Spinal Cord Injury Cardiogenic: • Low CO / High SVR, JVP >8, CVP > 12 • Myocardial Infarction, Decompensated CHF, Severe Valve Disease, Myocarditis, Arrhythmia Obstructive: • Low CO / High SVR, JVP >8, CVP > 12 • Pulmonary Embolism, Tension Pneumothorax, Cardiac Tamponade Hypovolemic: • Low CO / High SVR, JVP < 6, CVP < 8 • Blood Loss, GI Losses, Third Spacing, Extreme Dehydration - Sophia Hayes MD @Sophia_Hayes_MD #Shock #Classification #Differential #Diagnosis #Types #criticalcare
