Type of Shock Description
Anaphylactic shock Massive vasodilation caused by IV contrast, drugs (ASA, insect
release of histamines in
response to allergic reaction
Hypovolemic shock Loss of intravascular volume
Cardiogenic Shock Inability of heart to pump
blood out effectively pump
failure), resulting in decrease arrhythmias, cardiomyopathy,
CO
Septic Shock Sepsis with hypotension
despite adequate fluid
replacement, massive
vasodilation caused by
inflammatory response of body cause)
due to overwhelming infection
Neurogenic Shock Pooling of blood -decrease
venous return, decrease CO,
hypotension, bradycardia
Types of Shock-Hurst Review Services
Cause Treatment
Medication: (histamine H2
bites/stings, anesthetic agents, blockers (Tagament),
vaccines, foods, materials (latex) Epinephrine (drug of choice),
diaphenhydramine (Benedryl),
Volume expanders, vasopressors
(Dopamine, Levophed), Solu-
medrol, nebulized brochodilators
Ensure patent airway, put pt in
recumbent and elevated legs, keep
warm
3rd spacing, diuresis, Rapid volume replacement (blood,
hemorrhage(#1 cause), burns, isotonic solutions),
GI fluid loss (vomiting, diarrhea, Neo-synethrine, control bleeding
drainage from NG tube), DIC,
DKA, HHNK,
long bone fx
Left ventricular dysfunction, MI Medication: Dobutamine,
(most common cause), CABG, Dopamine, Epinephrine,
Levophed, Primacor,
tension pneumothorax, PE, Nitroglycerin, Nipride,
cardiac tamponade Morphine, intraaoritc balloon
pump (IABP), correct arrythmias
Infection (UTI, respiratory tract, Antimicrobial therapy, surgical
indwelling lines (IV, central drains, volume replacement,
lines) or catheters), gram- cultures, antibiotics, control
negative bacteria (most common temperature
Massive vasodilation due to loss Treat the cause, Dopamine,
of vascular tone due to Levophed, Neo-Synephrine
suppression of the sympathetic
nervous system, injury/disease
to the spinal cord at or above T6,
spinal anesthesia, head injury
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