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Shock is a life-threatening condition and must be treated as such irrespective of the causes.
Shock is a life-threatening condition and must be treated as such irrespective of the causes.




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{| style="border: 2px solid #696969;" align="center"
{| style="border: 2px solid #696969;" align="center"
|+ <SMALL>''Hemodynamic Profiles of Shock''<ref name="isbn0-683-06754-0">{{Cite book  | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicin | date = 1984 | publisher = William  Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages =  }}</ref></SMALL>
|+ <SMALL>''Hemodynamic Profiles of Shock''<ref name="isbn0-683-06754-0">{{Cite book  | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicin | date = 1984 | publisher = William  Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages =  }}</ref></SMALL>
| align="center" style="background:#f0f0f0;" colspan=2 |'''Type of Shock'''
| align="center" style="background:#A5B2D6;" colspan=2 |'''Type of Shock'''
| align="center" style="background:#f0f0f0;"|'''CO'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''CO'''
| align="center" style="background:#f0f0f0;"|'''SVR'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''SVR'''
| align="center" style="background:#f0f0f0;"|'''PCWP'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''PCWP'''
| align="center" style="background:#f0f0f0;"|'''CVP'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''CVP'''
| align="center" style="background:#f0f0f0;"|'''SV<sub>O<sub>2</sub></sub>'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''SV<sub>O<sub>2</sub></sub>'''
|-
|-
| rowspan=4 |'''Cardiogenic'''|| Myocardial Infarction ||↓↓||↑||↑↑||↑↑||↓
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 100px;" rowspan=3 |'''Cardiogenic'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 300px;" | [[Myocardial Infarction]] || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
|-
|-
| Acute Ventricular Septal Defect ||↓↓||↑||nl—↑||↑↑||↑—↑↑
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |Acute Ventricular Septal Defect || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
|-
|-
| Acute Mitral Regurgitation ||↓↓||↑||↑↑||↑—↑↑||↓  
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Acute Mitral Regurgitation || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
|-
|-
| Right ventricular infarction ||↓↓||↑||nl—↑||↑↑||↓  
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Cardiac Tamponade || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
|-
|-
| rowspan=2 |'''Extracardiac Obstructive'''|| Cardiac Tamponade ||↓—↓↓||↑||↑↑||↑↑||↓
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Pulmonary Embolism || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |N –↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
|-
|-
| Pulmonary Embolism ||↓↓||↑||nl —↓||↑↑||↓
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 |'''Distributive'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Septic Shock || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
|-
|-
| rowspan=2 |'''Distributive'''|| Septic Shock ||nl—↑↑||↓—↓↓||nl—↓||nl—↓||↑—↑↑
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Anaphylactic Shock || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
|-
|-
| Anaphylactic Shock ||nl—↑↑||↓—↓↓||nl—↓||nl—↓||↑—↑↑
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 |'''Hypovolemic'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Hemorrhage or Fluid Depletion || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
|-
|-
| rowspan=1 |'''Hypovolemic'''|| Hemorrhage or Fluid Depletion ||↓↓||↑||↓↓||↓↓||↓
|}
|}


Revision as of 20:05, 4 March 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Circulatory shock

Definition

Shock is the clinical expression of circulatory failure that results in inadequate cellular oxygen utilization.[1]

Causes

Shock is a life-threatening condition and must be treated as such irrespective of the causes.


Classification

Hemodynamic Profiles of Shock[2]
Type of Shock CO SVR PCWP CVP SVO2
Cardiogenic Myocardial Infarction ↓↓ ↑ ↑↑ ↑↑ ↓
Acute Ventricular Septal Defect ↓↓ ↑ N–↑ ↑↑ ↑–↑↑
Acute Mitral Regurgitation ↓↓ ↑ ↑↑ ↑–↑↑ ↓
Extracardiac
Obstructive		 Cardiac Tamponade ↓–↓↓ ↑ ↑↑ ↑↑ ↓
Pulmonary Embolism ↓↓ ↑ N –↓ ↑↑ ↓
Distributive Septic Shock N–↑↑ ↓–↓↓ N–↓ N–↓ ↑–↑↑
Anaphylactic Shock N–↑↑ ↓–↓↓ N–↓ N–↓ ↑–↑↑
Hypovolemic Hemorrhage or Fluid Depletion ↓↓ ↑ ↓↓ ↓↓ ↓


[3]

Management

References

  1. ↑ Vincent, JL.; De Backer, D. (2013). "Circulatory shock". N Engl J Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518. Unknown parameter |month= ignored (help)
  2. ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicin. Baltimore: William Wilkins. ISBN 0-683-06754-0.
  3. ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.
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