Shock - the cardiovascular system fails to perfuse the tissues adequately, resulting in

widespread impairment of cellular metabolism.

PATHOPHYSIOLOGY

Decreased Blood Pressure

STIMULATE SYMPATHETHIC NERVOUS SYSTEM

 Thirst
 Anxiety, restlessness
 Tachycardia
COMPENSATIONS  Vasoconstriction, pallor
To maintain heart and
brain functions RENIN-ANGIOTENSIN-ALDOSTERONE
 Vasoconstriction
 Retention of Sodium and water, oliguria

INCREASED SECRETION
 Retention of water

DIRECT EFFECTS OF DECREASED BLOOD PRESSURE

 Lethargy, Weakness
 Anaerobic Metabolism Metabolic Acidosis

VASODILATION AND DECREASED CELL FUNCTION

 Slow blood flow in Microcirculation Thrombus Forms

 Ischemia in organs Decreased Function

Necrosis (e.g.
Kidney)

DECREASED VENOUS RETURN

FURTHER DECREASED IN CARDIAC OUTPUT

 Severe Acidosis
 CNS depression
 Organ Damage (e.g. acute
renal failure, lung damage)

DECOMPENSATION