Cardiogenic Shock

Front 1

Shock

Back 1

inadequate tissue perfusion & cellular oxygenation affecting multiple organ systems

Front 2

Adequate Tissue Perfusion requires

Back 2

1. Blood volume.

2. Cardiac Output.

3. Vascular Bed Size

Front 3

Formula for BP

Back 3

BP= CO x SVR

Front 4

Cardiac output formula

Back 4

CO = SV x HR

Front 5

Components of stroke volume

Back 5

1. Preload.

2. Afterload.

3. Contractility.

Front 6

Components of oxygen content

Back 6

Partial pressure of oxygen,

concentration of hemoglobin

Front 7

Factors that increase O2 demand

Back 7

1. Increased BMR.

2. Infection/fever.

3. Increased work of organs.

4. Agitation/pain

Front 8

Cellular alteration in shock

Back 8

Impaired O2 delivery results in shift from Aerobic respiration to

Anaerobic respiration,

ATP is used more quickly and cell begins to run down

Front 9

Cycle of shock

Back 9

Inadequate bloodflow to organs leads to tissue Hypoxia, causing

the cell to switch over to Anaerobic respiration. This causes tissue Hypoxia, which leads to an accumulation of lactic acid and a fall in pH.

Causing metabolic acidosis, which leads to cardiac depression & lessens bloodflow to organs.

Front 10

Body responses to shock

Back 10

1. Initial stage: no visible symptoms yet

2. Compensatory stage: neural, hormonal and chemical responses

3. Progressive stage: multi-organ failure

4. Refractory stage: permanent damage, death is inevitable

Front 11

Cardiogenic shock

Back 11

Due to heart failure, like a heart attack. Have inability of heart to contract, leading to reduced stroke volume or heart rate and ultimately lowered cardiac output

Front 12

Causes of Cardiogenic Shock

Back 12

1. Acute Myocardial Infarction.

2. Severe Congestive Heart Failure

3. Cardiomyopathy.

4. Valvular Dysfunction.

5. Cardiac Tamponade.

6. P.E.

7. O.D.

Front 13

Signs & Symptoms

Back 13

1. C.P., S.O.B., Cold Clammy Skin.

2. Crackles, Decreased U.O.

3. Nausea, Anxiety.

4. Sense of Impending Doom.

5. Hypotension. Oliguria. Cyanosis.

6. Cool Extremities, Reduced L.O.C.

7. Sinus Tach., J.V. Distension .

Front 14

Cardiogenic Shock Hemodynamics

Back 14

1. BP is low.

2. CVP is high.

3. PCWP is high.

4. C.O. is low

5. SVR is high.