Shock

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  • Created by: mmoores
  • Created on: 18-03-21 11:33
What is shock?
Decrease in blood pressure which causes inadequate oxygen and nutrient tissue perfusion and cell death

reduced removal of harmful byproducts of metabolism e.g. lactic acid
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What are the three types of shock?
Hypovolaemic
Cardiogenic
Distributive
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What are the three types of distributive shock?
Neurogenic
Septic
Anaphylactic
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What are the four stages of shock?
Initial
Compensatory
Decompensatory
Refractory
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What are the symptoms of the Initial stage of shock?
Symptoms are subtle because compensatory mechanisms are working
Cold peripheries
Prolonged CRT >2 seconds
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What are the symptoms of the compensatory stage of shock?
Increased Heart Rate
Increased Respiratory Rate
Skin cool and clammy
Weak peripheral pulses
Decreased Consciousness
Diuresis, Decreased Bowel Sounds
Increased blood sugar
Metabolic Acidosis
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What are the symptoms of the Decompensatory Stage?
Decreased Heart Rate
Decreased Cardiac Output
Decreased Blood Pressure
Increasingly slow CRT
Increasing acidosis
Low or no urine output
Multi Organ Failure
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Symptoms of the Refractory Stage?
IRREVERSIBLE
Comatose
Vital organ failure
Brain damage and widespread cell death
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How does the body know that blood pressure is low?
Baroreceptors in the aortic arch and carotid sinus detect low BP
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How does the body compensate short term for low BP?
Baroreceptors send a signal via afferent pathways to the medulla
message via efferent pathways back to the heart
the heart responds with an increased heart rate and increased contractility
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How does the body compensate for high carbon dioxide?
Chemoreceptors in the aortic arch and carotid sinus detect high CO2
message via afferent pathway to the medulla ablongata
efferent pathways to the respiration muscles
they work harder and faster to remove the CO2
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What does RAAS stand for?
Renin-Angiotensin-Aldosterone
System
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What does the RAA system do?
It is a medium-long compensatory method to increase blood pressure

By retaining sodium and therefore water which increases blood volume
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What is does ADH do?

Anti Diuretic Hormone
ADH works in the nephron by increasing the amount of water that is reabsorbed

Less urine is produced
Increases Blood Volume
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What is the aim of treating a child in shock?
To re-establish tissue perfusion

Restore Blood and oxygen supply to vital organs and body tissues
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Other cards in this set

Card 2

Front

What are the three types of shock?

Back

Hypovolaemic
Cardiogenic
Distributive

Card 3

Front

What are the three types of distributive shock?

Back

Preview of the front of card 3

Card 4

Front

What are the four stages of shock?

Back

Preview of the front of card 4

Card 5

Front

What are the symptoms of the Initial stage of shock?

Back

Preview of the front of card 5
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