Shock and Its Mechanisms
32 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is shock?

A condition of profound hemodynamic and metabolic disturbance due to inadequate blood flow and oxygen delivery to the capillaries and tissues of the body.

How is shock classified?

Shock may be classified as follows: Hypovolemic Shock, Distributive Shock, Cardiogenic Shock.

What is Hypovolemic Shock?

This results from hemorrhage, dehydration (nausea and vomiting, diarrhea, polyuria), burns, trauma, and ascites.

Distributive Shock can be results from loss of circulating volume, e.g., hemorrhage, dehydration, burns, trauma, ascites.

<p>False (B)</p> Signup and view all the answers

Cardiogenic Shock results from decreased cardiac output, e.g., MI, dysrhythmias, CHF.

<p>True (A)</p> Signup and view all the answers

What is Distributive Shock?

<p>There are three types: Neurogenic, Septic and Anaphylactic Shock.</p> Signup and view all the answers

What is Neurogenic Shock?

<p>This results from spinal cord injury; head injury; generalized vasodilatation due to conditions affecting the sympathetic nervous system, e.g., spinal cord injury; head injury; generalized vasodilatation due to conditions affecting the sympathetic nervous system, e.g., barbiturates, and tranquilizers.</p> Signup and view all the answers

What is Septic Shock?

<p>This results from massive infection; endemic organisms; severe infection; commonly caused by a gram-negative organism.</p> Signup and view all the answers

What are Anaphylactic Shock results from?

<p>This results from a massive, generalized vasodilatation of vasogenic shock.</p> Signup and view all the answers

What are the initial stages of shock?

<p>Sympatho - Adreno - Medullary Response (SAMR). There is release of epinephrine and norepinephrine.</p> Signup and view all the answers

During the initial stage of shock, sympathetic nervous system is activated.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, increased heart rate results to increased cardiac contractility.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, increased heart rate results to increased blood supply to body parts.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, increased constriction results to increased blood supply to body parts.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, vasoconstriction results to increased cardiac output.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, vasoconstriction results to decreased blood supply to the body parts.

<p>False (B)</p> Signup and view all the answers

During the initial stage of shock, increased heart rate results to increased BP.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, vasoconstriction results to increased BP.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, increased cardiac contractility results to increased BP.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, increased blood supply to body parts results to increased BP.

<p>True (A)</p> Signup and view all the answers

What are the hormones that are released during the initial stage of shock?

<p>Epinephrine and norepinephrine.</p> Signup and view all the answers

What is the role of the hormone epinephrine?

<p>It helps maintain BP.</p> Signup and view all the answers

What is the purpose of norepinephrine?

<p>It helps maintain BP.</p> Signup and view all the answers

What is the role of the hormone antidiuretic hormone (ADH)?

<p>It promotes water retention and helps to maintain BP.</p> Signup and view all the answers

What is the function of the hormone renin?

<p>It causes arteriolar vasoconstriction.</p> Signup and view all the answers

What is the action of the hormone angiotensin?

<p>It causes vasoconstriction and helps maintain BP.</p> Signup and view all the answers

What is the role of the hormone aldosterone?

<p>It helps maintain sodium and water; it helps maintain BP.</p> Signup and view all the answers

What is the role of the sympathetic nervous system?

<p>It helps maintain BP.</p> Signup and view all the answers

During the initial stage of shock, renin-angiotensin-aldosterone system (RAAS) stimulation helps increase circulating volume, and helps maintain BP.

<p>True (A)</p> Signup and view all the answers

During the initial stage of shock, aldosterone helps retain sodium and water which results in increased BP.

<p>True (A)</p> Signup and view all the answers

The initial stage of shock, epinephrine is released by adrenal medulla.

<p>True (A)</p> Signup and view all the answers

The initial stage of shock, epinephrine helps retain sodium and water; it helps maintain BP.

<p>False (B)</p> Signup and view all the answers

Flashcards

Shock

A condition with inadequate blood flow and oxygen to tissues.

Hypovolemic Shock

Shock caused by loss of blood volume.

Cardiogenic Shock

Shock due to a failing heart.

Distributive Shock

Shock from widespread blood vessel widening.

Signup and view all the flashcards

Neurogenic Shock

Distributive shock from nervous system issues.

Signup and view all the flashcards

Septic Shock

Distributive shock from severe infection.

Signup and view all the flashcards

Anaphylactic Shock

Distributive shock from a severe allergic reaction.

Signup and view all the flashcards

SAMR

Body's initial response to shock.

Signup and view all the flashcards

Epinephrine & Norepinephrine

Hormones that increase heart rate and constrict blood vessels.

Signup and view all the flashcards

ADH

Hormone that retains water and constricts blood vessels.

Signup and view all the flashcards

RAAS

System that retains sodium and water.

Signup and view all the flashcards

Renin

A component of RAAS that promotes vasoconstriction.

Signup and view all the flashcards

Aldosterone

A component of RAAS that conserves sodium and water.

Signup and view all the flashcards

Sympathetic Nervous System

Nervous system causing norepinephrine release.

Signup and view all the flashcards

Myocardial Infarction (MI)

Heart attack.

Signup and view all the flashcards

Congestive Heart Failure (CHF)

Heart cannot effectively pump.

Signup and view all the flashcards

Cardiac Tamponade

Fluid buildup around the heart.

Signup and view all the flashcards

Dysrhythmias

Irregular heartbeats.

Signup and view all the flashcards

Increased Cardiac Output

Heart pumps more blood per minute.

Signup and view all the flashcards

Study Notes

Shock

  • Shock is a condition of inadequate blood flow and oxygen delivery to body tissues.
  • Shock can be classified as:
    • Hypovolemic shock (loss of blood volume)
    • Cardiogenic shock (decreased cardiac output)
    • Distributive shock (massive vasodilation)
      • Neurogenic shock (generalized vasodilation)
      • Septic shock (severe infection)
      • Anaphylactic shock (severe allergic reaction)

Compensatory Mechanisms in Shock

  • Body tries to compensate for shock through various mechanisms:
    • Sympatho-adreno-medullary response (SAMR):
      • Increased heart rate and blood pressure (BP)
      • Increased cardiac contractility and output
    • Antidiuretic hormone (ADH) release:
      • Promotes water retention and BP maintenance
      • Arteriolar vasoconstriction
    • Renin-angiotensin-aldosterone system (RAAS):
      • Angiotensin causes vasoconstriction to maintain BP
      • Aldosterone helps maintain sodium and water balance, increasing circulating volume and BP
    • Sympathetic nervous system (SNS) stimulation:
      • Norepinephrine release
      • Increased BP

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Description

This quiz covers the various types of shock and the body's compensatory mechanisms during this critical condition. Explore the classifications of shock, including hypovolemic, cardiogenic, and distributive shock, along with their underlying physiological responses. Test your understanding of how the body tries to maintain blood flow and oxygen delivery under challenging circumstances.

More Like This

Shock Types and Management Overview
20 questions
Shock: Types and Treatment Overview
39 questions
Types and Stages of Shock
18 questions

Types and Stages of Shock

LikedSerendipity2477 avatar
LikedSerendipity2477
Types of Shock and Multi-System Dysfunction
79 questions
Use Quizgecko on...
Browser
Browser