Abena A Yeboah

Professor Ward
Nurs 400

The quiz assignment will be to create a chart listing the different types of shock, what type are
they, distributive, obstructive etc., what is the etiology (cause) pathophysiology (what happens),
how does the patient present and what is the treatment.
Types of Shock Etiology Physiology Presentation Treatment
-Pump Failure -When the -Low blood - Reperfusion
because of heart does not pressure (heart cath)
heart failure pump enough -Tachycardia - Increase cardiac
- Acute MI- blood - decreased output
blocked by - Filling/ cardiac output - Ventilation-
Cardiogenic Shock
plaque of contraction -Increase HR mech & diuretics
fat( decrease issues or -kidney: - Maintain
blood flow to dysrhythmias, decrease hemodynamic
the muscle) structure defect perfusion

- There is low - Fluid

- Patient with - Tachycardia
fluid volume replacement via
heat stroke -Hypotension
in the crystalloids,
- Any - Cold/clammy
circulatory colloid, blood, or
condition that skin
system blood products
cause fluid to - Low urinary
- Cells will and correcting
leave the output
start to die the cause of
system - Altered mental
- Decrease shock
- Massive status
amount of -
bleeding from
fluid volume
surgery or
Hypovolemic Shock that will return
injury,
to the heart
urination,
vomiting, or
- Going to
diarrhea)
affect cardiac
- Or inside
preload
fluid shift
- Decrease in
(internal
stroke volume
bleeding, long
which will
bone fracture,
decrease
severe burns)
cardiac output
Distributive Shock: - - Spinal Cord - - Have an -Foley catheter
Neurogenic, injury at the issue with -Hypotension, placement,
Anaphylactic, and cervical or sympathetic bradycardia, rewarming
Septic upper system, major hypothermia, devices for
thoracic hemodynamic warm/dry hypothermia,
region, taken changes extremities but a administering
drugs that - -Vasodilation cold body atropine for
affect the decrease the - Difficulty bradycardia
autonomic resistance breathing, - Removing the
sympathetic which affect inability to allergen,
- - Food can cardiac output speak, swelling, administering
cause shock - -Anaphylactic wheezing, runny epinephrine,
(Shellfish, reaction the nose, watery placing the
peanuts, eggs, patient has to eyes, patient in the
milk) or undergo hypotension, supine position
medications sensitization increased heart with the leg
- - Sepsis and - - Allergen rate, itchy skin, elevated,
leads to causes the diarrhea, nausea, education
major mast cells or vomiting - Fluid
decreased basophils to - Early: warm replacement,
tissue release flushed skin, vasopressor,
perfusion massive increased heart oxygenation
amount of and respiratory (mechanical
histamine rate, ventilation),
- - Massive restlessness, glucose control,
system-wide fever, increased monitor serum
vasodilation, or normal lactate, Foley
increased cardiac output catheter to
capillary and decrease measure urine
permeability systemic output,
(leads to vascular hemodynamic
relative resistance, monitoring,
hypovolemia) decreased blood enteral nutrition
, clot pressure
formation in - Late:
the small cold/clammy
vessels. All of skin, severe
these factors hypotension,
contribute to respiratory
decreased failure, oliguria
tissue (renal failure),
perfusion and low cardiac
 output
leads to
shock.
-
-
-

- Tension
- - The inability . - Low blood
pneumothorax
to produce pressure
- Pulmonary
adequate - Rapid pulse
Obstructive embolism - - Relieve the
cardiac output - unequal breath
Shock - And cardiac obstruction
- - Loss of sounds
tamponade
perfusion - trouble
- Not the most
- - breathing
common;