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;" 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;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" align=center 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;" 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;" |'''[[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 |↓
| 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;" 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 |↓
| 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 |'''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 |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 align=center |'''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;" 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 |↓
| 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;" 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 |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 align=center |'''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;" 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 |↑ — ↑↑
| 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;" 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 |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 align=center |'''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 21:33, 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 Acute Ventricular Septal Defect ↓↓ ↑ N — ↑ ↑↑ ↑ — ↑↑
Acute Mitral Regurgitation ↓↓ ↑ ↑↑ ↑ — ↑↑ ↓
Myocardial Infarction ↓↓ ↑ ↑↑ ↑↑ ↓
Obstructive Pulmonary Embolism ↓↓ ↑ N — ↓ ↑↑ ↓
Cardiac Tamponade ↓ — ↓↓ ↑ ↑↑ ↑↑ ↓
Distributive Septic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Anaphylactic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Hypovolemic Volume 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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