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  • Low of Blood Flow Shock

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    BNA_RN
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    This document outlines the clinical presentation of low blood flow shock in several categories: Cardiogenic shock is characterized by decreased capillary refill time, increased myocardial oxygen demand, and possible chest pain. Pulmonary shock presents with tachypnea, cyanosis, crackles, and rhonchi. Hypovolemic shock shows decreased preload, stroke volume, and capillary refill initially, and later bradypnea. Renal, skin, gastrointestinal, and neurologic signs are also described. Diagnostic findings include increased cardiac markers, blood glucose, BUN, and lactate and changes in electrolytes, hematocrit, hemoglobin and urine specific gravity.

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    This document outlines the clinical presentation of low blood flow shock in several categories: Cardiogenic shock is characterized by decreased capillary refill time, increased myocardial oxygen demand, and possible chest pain. Pulmonary shock presents with tachypnea, cyanosis, crackles, and rhonchi. Hypovolemic shock shows decreased preload, stroke volume, and capillary refill initially, and later bradypnea. Renal, skin, gastrointestinal, and neurologic signs are also described. Diagnostic findings include increased cardiac markers, blood glucose, BUN, and lactate and changes in electrolytes, hematocrit, hemoglobin and urine specific gravity.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    679 views2 pages

    Low of Blood Flow Shock

    Uploaded by

    BNA_RN
    This document outlines the clinical presentation of low blood flow shock in several categories: Cardiogenic shock is characterized by decreased capillary refill time, increased myocardial oxygen demand, and possible chest pain. Pulmonary shock presents with tachypnea, cyanosis, crackles, and rhonchi. Hypovolemic shock shows decreased preload, stroke volume, and capillary refill initially, and later bradypnea. Renal, skin, gastrointestinal, and neurologic signs are also described. Diagnostic findings include increased cardiac markers, blood glucose, BUN, and lactate and changes in electrolytes, hematocrit, hemoglobin and urine specific gravity.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    CLINICAL PRESENTATION OF LOW BLOOD FLOW SHOCK

    CARDIOGENIC CARDIOVASCULAR 1. Capillary refill 2. MVO2 3. Chest pain (may or may not) PULMONARY 1. 2. 3. 4. Tachypnea Cyanosis Crackles Rhonchi HYPOVOLEMIC 1. Preload 2. Stroke volume 3. Capillary refill 1. Tachypnea 2. Bradypnea (LATE)

    RENAL

    1. Na and H2O retention 2. Renal blood flow 3. Urine output 1. Pallor 2. Cool, clammy

    Urine output

    SKIN

    1. Pallor 2. Cool, clammy

    NEUROLOGIC

    1. 2. 3. 4.

    Cerebral perfusion Anxiety Confusion Agitation

    1. Anxiety 2. Confusion 3. Agitation 1. Absent bowel sounds

    GASTROINTESTINAL 1. Bowel sounds 2. Nausea 3. Vomiting DIAGNOSTIC FINDINGS Cardiac markers Blood glucose BUN EKG (dysrhythmias) Echocardiogram (Left Vent. Dysfunction) 6. Chest x-ray (pulm. Infiltrates) 1. 2. 3. 4. 5.

    1. 2. 3. 4. 5.

    Hematocrit Hemoglobin Lactate Urine specific gravity Changes in electrolytes

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