Five types of shock, their causes, symptoms, and treatments.

Summary:

  • Cardiogenic Shock

    • Cause: Heart's inability to pump enough blood.
    • Symptoms: Hypotension, tachycardia, shallow respirations, oliguria, confusion, cool/clammy skin.
    • Treatment: IV fluids, O2 therapy, vasopressors and inotropes.
  • Hypovolemic Shock

    • Cause: Severe bleeding or fluid loss (burns, trauma).
    • Symptoms: Hypotension, tachycardia, shallow respirations, oliguria, confusion, restlessness, cool/clammy skin.
    • Treatment: Initiate IV fluid therapy, O2 therapy, blood transfusion may be required.
  • Septic Shock

    • Cause: Infection leading to severe sepsis.
    • Symptoms: Hypotension, tachycardia, increased respirations, oliguria (late stage), fever, initial stage flushed and warm.
    • Treatment: IV fluid therapy, O2 therapy, antibiotics, inotropes.
  • Anaphylactic Shock

    • Cause: Severe allergic reaction (drugs, food, insect bite).
    • Symptoms: Hypotension, tachycardia, shortness of breath, bronchoconstriction, oliguria, decreased LOC (level of consciousness), hives, flushed/itching, localized edema.
    • Treatment: O2 therapy, IV therapy, epinephrine, albuterol, antihistamines, hydrocortisone (corticosteroids).
  • Neurogenic Shock

    • Cause: Damage to the nervous system.
    • Symptoms: Hypotension, bradycardia, affects breathing (depending on the type of injury), decreased LOC, dry/warm skin, no bladder control (depending on the type of injury).
    • Treatment: IV fluid therapy, O2 therapy, inotropic agents, atropine for severe bradycardia.
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