Definition of Shock

Shock is a manifestation that happen caused by circulatory

failure make the body isn’t getting enough blood flow. Shock is
characterized by decreased oxygen delivery and/or increased oxygen
consumption or inadequate oxygen utilization leading to cellular and
tissue hypoxia.
It can be a life-threatening cause it leads to dysfunction of vital
organ caused by the hypoxia of cellular and tissue.
Type of Shock
1. Distributive Shock
2. Cardiogenic Shock
3. Obstructive Shock
4. Hypovolemic Shock
Distributive Shock
Distributive shock is a condition of relative hypovolemia resulting from
pathological redistribution of the absolute intravascular volume and it
characterized by peripheral vasodilatation.
Sub-type :
• Septic Shock
• Anaphylactic Shock
• Neurogenic Shock
Cardiogenic Shock
Cardiogenic shock is happen due to intracardiac causes leading to
decreased cardiac output and systemic hypoperfusion. It is the
primarily a disorder of cardiac function in the form of a critical
reduction of the heart’s pumping capacity, caused by systolic or
diastolic dysfunction leading to a reduced ejection fraction or impaired
ventricular filling.
Obstructive Shock
Obstructive shock is a condition caused by the obstruction of the great
vessels or the heart itself. Mostly due to extracardiac causes leading to
decrease in the left ventricular cardiac output.
Hypovolemic Shock
Hypovolemic shock is a condition of inadequate organ perfusion caused
by loss of intravascular volume, usually acute. Hypovolemic shock is
characterized by decreased intravascular volume and increased
systemic venous assistance (compensatory the mechanism to maintain
perfusion in the early stages of shock).
Sub-type :
• Hemorrhagic Shock
• Traumatic hemorrhagic shock
• Hypovolemic shock in the narrower sense
• Traumatic hypovolemic shock
From: Bench-to-bedside
review: Latest results in
hemorrhagic shock
https://ccforum.biomedce
ntral.com/articles/10.1186
/cc6919
Reference
Thomas S, Thorsten A, Ingolf C, Axel H, Wolfram T. The Nomenclature,
Definition and Distinction of Types of Shock [Internet] . Dtsch Arztebl
Int; 2018 Nov 9 [cited 2019 Oct 24]; 115(45): 757–768. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323133/
Hayas K, Manju P. Shock [Internet]. StatPearls Publishing; 2019 Jan
[cited 2019 Oct 24]. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK531492/#article-28970.s4