Page 243 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)

B. Causes, Symptoms, and Consequences of Shock
Sepsis, anaphylaxis, Myocardial infarct,
Loss of blood or fluid hyperthermia Pulmonary edema AV block, etc.

Hypovolemia Vasodilation

Symptoms:
Cardiac filling
thirst
Cardiac
Cardiac output contractility
hypotonia Blood pressure Circulatory Shock II

Hypoxia
rapid
heart rate Heart rate Sympathetic tone Organ damage,
esp.:
cold
sweat Vasoconstriction lung gastro- Plate 7.30
pallor Skin intestinal
tract
(not in kidney
sepsis etc.)
Counterregulation
C. Vicious circles (1–4) which Lead to Irreversible Shock
Vasoconstriction Blood pressure
Vasoconstriction
Blood a
flow velocity Hypoxia
Capillary Precapillary
damage dilation
Blood Thrombi b
viscosity c Consumption
coagulopathy
Stasis
Volume
Bleeding outflow
1 Circulatory failure Hypovolemia
2 Circulatory failure
Cardiac a
Hypoxia Myocardial acidosis contractility Pulmonary edema
Blood Thrombi
pressure
Blood Myocardial b
pressure damage c Pulmonary
emboli
Coronary
Cardiac blood flow Respiratory
failure
CO contractility
Hypoxia
233
3 Circulatory failure 4 Circulatory failure
Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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