Obstructive Shock Essay

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Obstructive Shock
Shock is typically described as blood flow that is inadequate to meet the oxygen concentration for normal functioning of the body tissues. Obstructive shock in this case results from mechanical obstruction of the left ventricle stopping the flow of blood out of the heart. With the limited blood flow, the tissues results in anaerobic metabolism since there is limited supply of oxygen. The anaerobic respiration produces a lot of carbon dioxide together with the inherent accumulations of lactic acid in the tissues (Morgan & Wheeler, 2013). There is impedance in the cardiac filling with shift in pressures between right and left ventricles, thus causing inadequate filling of the ventricle responsible for blood output. In this case,
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The inherent mechanical obstruction in the blood output from the ventricles creates enormous impacts on tissues. Evidently, the areas of hypo-perfusion will have less oxygen for aerobic activities, therefore, diverting to anaerobic processes that produces carbon dioxide and lactic acids. In this situation, the cells will have increase inflammatory coupled with clotting and if shock is irreversible then extreme damage and death of tissues occurs. Moreover, the sac around the heart attracts more fluid and airs that result to increased pressure. The increase in pressure in pericardium prevents diastole movements of the ventricles impending outflow of blood to vital …show more content…
In this case, the reason for the change in pressure is accumulation of fluid or blood in the sac surrounding the heart (Morgan & Wheeler, 2013). The accumulation may occur due to infection or injury within the heart or pericardium. The obstructive shock results when the pressure in the pericardium increases constricting the ventricles, thus making output of blood impossible. The ventricle will, therefore, have decreased pressure that leads to impediment of blood flow to the vital

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