CLINICAL PRESENTATION OF MALDISTRIBUTION OF BLOOD FLOW SHOCK

NEUROGENIC 1. / Temperature 2. Bradycardia ANAPHYLACTIC 1. Chest pain 2. Third spacing of fluid SEPTIC 1. / temperature 2. Biventricular dilation: - Ejection fraction 1. Hyperventilation 2. Respiratory alkalosis Respiratory acidosis 3. Hypoxemia 4. Respiratory failure 5. ARDS 6. Pulmonary hypertension 7. Crackles 1. Urine output

1. Dysfunction r/t level of injury 1. Swelling of lips and tongue 2. SOB 3. Edema of larynx and epiglottis 4. Wheezing 5. Rhinitis 6. Stridor 1. Bladder dysfunction

1. Skin perfusion 2. Cool or warm 3. Dry 1. Flaccid paralysis below the level of the lesion 2. Loss of reflex activity 1. Bowel dysfunction

1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3.

Flushing Pruritus Urticarial Angioedema Anxiety Feeling of impending doom Confusion LOC Metallic taste Cramping Abdominal Pain N/V/D Sudden onset Hx of allergies Exposure to contract media

1. Warm and flushed cool and mottled (LATE)

1. 2. 3. 4. 1. 2. 1. 2. 3. 4. 5. 6. 7.

Alteration in mental status Confusion Agitation Coma (LATE) GI bleeding Paralytic ileus / WBC Platelets Lactate Glucose Urine specific gravity Urine Na Positive blood cultures