Summary

This document provides an overview of obstructive shock, outlining its causes, classification, clinical manifestations, and management strategies. The document emphasizes the importance of early recognition and treatment to address the underlying obstructions like cardiac tamponade, tension pneumothorax, and pulmonary embolism.

Full Transcript

Shock-Obstructive Classification and Precipitating factors Physical obstruction impedes the filling or outflow of blood resulting in reduced cardiac output Cardiac tamponade, tension pneumothorax, superior vena cava syndrome, abdominal compartment syndrome, pulmonary embolism Shock-Obstructive Clini...

Shock-Obstructive Classification and Precipitating factors Physical obstruction impedes the filling or outflow of blood resulting in reduced cardiac output Cardiac tamponade, tension pneumothorax, superior vena cava syndrome, abdominal compartment syndrome, pulmonary embolism Shock-Obstructive Clinical Manifestations Cardiovascular Pulmonary Renal Skin Neurologic Gastrointestinal Diagnostic findings are specific to the cause of the obstruction-need to fix the issue Shock-Obstructive Diagnostic Findings Specific to cause of obstruction Management of Obstructive Shock Early recognition and treatment to relieve or manage the obstruction Pericardial tamponade, tension pneumothorax, hemothorax Mechanical decompression-needle or tube insertion Superior vena cave syndrome Radiation, debulking, or removing the mass Abdominal compartment syndrome Decompressive laparotomy Pulmonary embolism Thrombolytic therapy

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