Shock other diagnostic studies: Difference between revisions

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{{Shock}}
{{CMG}}
 
==Overview==
 
Hemodynamic profile aids in classification of shock and is also valuable in directing fluid therapy in patients with [[cardiogenic shock]].
 
==Hemodynamic Profile==
 
{| style="border: 2px solid #A8A8A8;" align="center"
|+ <SMALL>''Classification of shock based on hemodynamic profiles.''<ref name="isbn0-683-06754-0">{{Cite book | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicine | date = 1984 | publisher = William Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages = }}</ref>
| align="center" style="background: #A8A8A8;" colspan=2 | '''Type of Shock'''
| align="center" style="background: #A8A8A8; width: 55px;"| '''CO'''
| align="center" style="background: #A8A8A8; width: 55px;"| '''SVR'''
| align="center" style="background: #A8A8A8; width: 55px;"| '''PCWP'''
| align="center" style="background: #A8A8A8; width: 55px;"| '''CVP'''
| align="center" style="background: #A8A8A8; width: 55px;"| '''SVO2'''
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" align=center rowspan=4 | '''Cardiogenic'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 20%;" | '''[[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;" | '''[[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;" | '''[[Myocardium|Myocardial Dysfunction]]'''
| 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;" | '''[[RV infarction|RV 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 |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: #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 |↓
|-
| 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: #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 |↑ — ↑↑
|-
| 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: #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 |↓
|-
|}


{{Shock}}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
 
{{WS}}
[[Category:Medical emergencies]]
[[Category:Medical emergencies]]
[[Category:Causes of death]]
[[Category:Causes of death]]
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Needs content]]

Revision as of 18:31, 10 April 2014

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

Overview

Hemodynamic profile aids in classification of shock and is also valuable in directing fluid therapy in patients with cardiogenic shock.

Hemodynamic Profile

Classification of shock based on hemodynamic profiles.[1]
Type of Shock CO SVR PCWP CVP SVO2
Cardiogenic Acute Ventricular Septal Defect ↓↓ ↑ N — ↑ ↑↑ ↑ — ↑↑
Acute Mitral Regurgitation ↓↓ ↑ ↑↑ ↑ — ↑↑ ↓
Myocardial Dysfunction ↓↓ ↑ ↑↑ ↑↑ ↓
RV Infarction ↓↓ ↑ N — ↓ ↑↑ ↓
Obstructive Pulmonary Embolism ↓↓ ↑ N — ↓ ↑↑ ↓
Cardiac Tamponade ↓ — ↓↓ ↑ ↑↑ ↑↑ ↓
Distributive Septic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Anaphylactic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Hypovolemic Volume Depletion ↓↓ ↑ ↓↓ ↓↓ ↓

References

  1. ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicine. Baltimore: William Wilkins. ISBN 0-683-06754-0.
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