Sandbox/001: Difference between revisions
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| align="center" style="background:#A5B2D6; width: 55px;"|'''SV<sub>O<sub>2</sub></sub>''' | | align="center" style="background:#A5B2D6; width: 55px;"|'''SV<sub>O<sub>2</sub></sub>''' | ||
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" rowspan=3 |'''Cardiogenic'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 200px;" |'''[[Ventricular septal defect|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;" |↑ — ↑↑ | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" rowspan=3 |'''Cardiogenic'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 200px;" |'''[[Ventricular septal defect|Acute Ventricular Septal Defect]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑|| style="font-size: 90%; padding: 0 5px; background:#DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑ | ||
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Mitral regurgitation|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;" |↓ | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Mitral regurgitation|Acute Mitral Regurgitation]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ | ||
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Myocardial infarction|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;" |↓ | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Myocardial infarction|Myocardial Infarction]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑||style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ | ||
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| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Pulmonary embolism|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;" |↓ | | style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Pulmonary embolism|Pulmonary Embolism]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ | ||
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| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|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;" |↓ | | style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|Cardiac Tamponade]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ | ||
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 |'''Distributive'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Septic shock|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;" |↑ — ↑↑ | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 |'''Distributive'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Septic shock|Septic Shock]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑ | ||
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Anaphylactic shock|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;" |↑ — ↑↑ | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Anaphylactic shock|Anaphylactic Shock]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑ | ||
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| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 |'''Hypovolemic'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Volume depletion|Volume 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;" |↓ | | style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 |'''Hypovolemic'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Volume depletion|Volume Depletion]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ | ||
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|} | |} | ||
Revision as of 20:19, 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
| Type of Shock | CO | SVR | PCWP | CVP | SVO2 | |
| Cardiogenic | Acute Ventricular Septal Defect | ↓↓ | ↑ | N — ↑ | ↑↑ | ↑ — ↑↑ |
| Acute Mitral Regurgitation | ↓↓ | ↑ | ↑↑ | ↑ — ↑↑ | ↓ | |
| Myocardial Infarction | ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | |
| Extracardiac Obstructive |
Pulmonary Embolism | ↓↓ | ↑ | N — ↓ | ↑↑ | ↓ |
| Cardiac Tamponade | ↓ — ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | |
| Distributive | Septic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ |
| Anaphylactic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ | |
| Hypovolemic | Volume Depletion | ↓↓ | ↑ | ↓↓ | ↓↓ | ↓ |
Management
References
- ↑ 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) - ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicin. Baltimore: William Wilkins. ISBN 0-683-06754-0.
- ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.