Shock: Types and Classification

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Questions and Answers

What is the primary cause of cardiogenic shock?

  • Circulatory pump failure (correct)
  • Decreased tissue perfusion
  • Loss of circulating volume
  • Increased peripheral resistance

Which of the following is a common cause of hypovolemic shock?

  • Sepsis
  • Hemorrhage (correct)
  • Cardiac tamponade
  • Myocardial infarction

What is the mortality rate associated with cardiogenic shock?

  • 80-90%
  • 30-50%
  • 50-80% (correct)
  • 20-30%

What is the primary mechanism of vasodilatory shock?

<p>Failure of vascular smooth muscle to constrict (B)</p> Signup and view all the answers

What is the definition of bacteremia?

<p>The presence of bacteria in the blood (C)</p> Signup and view all the answers

What is the definition of SIRS?

<p>Systemic inflammatory response syndrome (B)</p> Signup and view all the answers

What is the definition of shock?

<p>A condition resulting from a depressed state of many vital body functions due to decreased tissue perfusion (A)</p> Signup and view all the answers

What is the classification of shock that results from trauma or surgical patients?

<p>Hypovolemic shock (D)</p> Signup and view all the answers

Which of the following types of shock is NOT reversible?

<p>Electrical shock (C)</p> Signup and view all the answers

What is the common cause of hypovolemic shock in trauma patients?

<p>Bleeding (C)</p> Signup and view all the answers

Which of the following is a sign of septic shock?

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

What is the primary cause of vasodilatory shock?

<p>Vascular dilation (D)</p> Signup and view all the answers

Which of the following is a type of distributive shock?

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

What is the primary mechanism of hypovolemic shock?

<p>Decreased blood volume (A)</p> Signup and view all the answers

Which of the following is a complication of cardiogenic shock?

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

What is the primary cause of insulin shock?

<p>Hypoglycemia (D)</p> Signup and view all the answers

Which of the following is a type of shock that can be caused by an electrical injury?

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

What is the primary cause of traumatic shock?

<p>Hemorrhage (C)</p> Signup and view all the answers

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Study Notes

Definition of Shock

  • Shock is a condition resulting from a depressed state of many vital body functions due to decreased tissue perfusion.
  • It is a life-threatening condition that can be reversible or irreversible.
  • Shock can be classified into different types, including Cardiogenic shock, Distributive shock, Traumatic shock, Electrical shock, Insulin shock, and Hypovolemic shock.

Classification of Shock

  • Hypovolemic shock: results from loss of circulating volume from hemorrhage, common in trauma/surgical patients, and can be Hemorrhagic or non-hemorrhagic.

Cardiogenic Shock

  • Cardiogenic shock is a circulatory pump failure leading to diminished forward flow and subsequent tissue hypoxia.
  • Mortality rate is up to 50-80%.
  • Common cause is Myocardial Infarction (MI).

Vasodilatory Shock (Septic Shock)

  • Vasodilatory shock is hypotension resulting from failure of the vascular smooth muscle to constrict appropriately.
  • Most frequently encountered form of vasodilatory shock is septic shock.

Septic Shock

  • Septic shock is a result of INFECTION, BACTEREMIA (presence of viable bacteria in the blood), and SIRS (Systemic Inflammatory Response Syndrome).
  • SIRS is the systemic inflammatory response to a wide variety of severe clinical manifestations, characterized by:
    • Temperature > 38°C or less than 36°C.
    • Pulse rate > 90bpm.
  • Sepsis-induced hypotension is characterized by systolic blood pressure < 90mmHg.

Definition of Shock

  • Shock is a condition resulting from a depressed state of many vital body functions due to decreased tissue perfusion.
  • It is a life-threatening condition that can be reversible or irreversible.
  • Shock can be classified into different types, including Cardiogenic shock, Distributive shock, Traumatic shock, Electrical shock, Insulin shock, and Hypovolemic shock.

Classification of Shock

  • Hypovolemic shock: results from loss of circulating volume from hemorrhage, common in trauma/surgical patients, and can be Hemorrhagic or non-hemorrhagic.

Cardiogenic Shock

  • Cardiogenic shock is a circulatory pump failure leading to diminished forward flow and subsequent tissue hypoxia.
  • Mortality rate is up to 50-80%.
  • Common cause is Myocardial Infarction (MI).

Vasodilatory Shock (Septic Shock)

  • Vasodilatory shock is hypotension resulting from failure of the vascular smooth muscle to constrict appropriately.
  • Most frequently encountered form of vasodilatory shock is septic shock.

Septic Shock

  • Septic shock is a result of INFECTION, BACTEREMIA (presence of viable bacteria in the blood), and SIRS (Systemic Inflammatory Response Syndrome).
  • SIRS is the systemic inflammatory response to a wide variety of severe clinical manifestations, characterized by:
    • Temperature > 38°C or less than 36°C.
    • Pulse rate > 90bpm.
  • Sepsis-induced hypotension is characterized by systolic blood pressure < 90mmHg.

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