3348836
Shock Stages
- Initial/Early
- Slight change to MAP
(5-10mm Hg)
- ▼ cardiac output (15%)
- Slight ▲ HR
- Switch from aerobic to
anaerobic metabolism
- ▲ lactic acid
- Slight change to MAP
(5-10mm Hg)
- Compensatory
- Activation of compensatory mechanisms
- Tachypnea,
tachycardia,
vasoconstriction
- ▼ MAP (10-15mm Hg)
- Continued ▼ cardiac
output (15-30%)
- ▼ MAP (10-15mm Hg)
- Tachypnea,
tachycardia,
vasoconstriction
- Activation of compensatory mechanisms
- Progressive
- Compensatory mechanisms fail
- Hypoperfusion
- ▼ cardiac
output
(30-40%)
- ▼ cardiac
perfusion/contractility
- ▲ Ischemia of
non-essential organs
(kidneys, intestines,
skin)
- ▲ capillary
permeability
- ▲ HR,
weak/thready
pulse
- Hypoperfusion
- Compensatory mechanisms fail
- Refractory
- Irreversible cell/tissue/organ death
- MODS
- Severe hypoxemia
- Renal failure
- DIC
- Circulatory failure
- MODS
- Irreversible cell/tissue/organ death
Anexos de mídia
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