9 Shocks

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s eptic Shock is secondary to infection, usually in the compromised patient with underlying disease. The patient can present with chills, hypothermia, nausea, vomiting, or mental status changes. S S

Hypovolemic / Hemorrhagic Shock Occurs secondary to dehydration or hemmorrhage, secondary to decreased fluid volume. S H

Respiratory Shock Inability of the patient’s respiratory system to support itself, i.e. respiratory distress, respiratory failure, respiratory arrest. S R

Insulin Shock Results when a diabetic has too much insulin in his system, driving sugar rapidly out of the blood and into the cells. An insuffucient blood sugar level results, impairing normal brain function. S I

Metabolic Shock Results when the body’s electrolytes become unbalanced due to a drop in sodium, potassium, glucose, … S M

Psychogenic Shock The common faint S P

Cardiogenic Shock Is most often seen in pateints who have had a mycocardial infarction (MI), papillary muscle rupture, or ventricular septal defect (VSD). VSD and papillary rupture can be detected by a loud systolic murmur that is louder than the first heart sound. S C

Anaphylactic Shock Occurs secondary to immunoglobulin hypersensitivity of the immune system. The patient presents with hypotension, bronchial spasm, dyspnea, pruritus, increased vascular permeability, and arteriolar dilatation. S A

Neurogenic Shock is secondary to a spinal cord injury. The patient presents with hypotension and bradycardia secondary to a loss of sympathetic tone to the distal level of the spinal cord injury. S N

Septic Hypovolemic hemorrhagic Respiratory Insulin Metabolic Psychogenic Cardiogenic Anaphylactic Neurogenic