Obstructive Shock Essay

Improved Essays
Obstructive Shock
Shock is typically described as blood flow that is inadequate to meet the oxygen concentration for normal functioning of the body tissues. Obstructive shock in this case results from mechanical obstruction of the left ventricle stopping the flow of blood out of the heart. With the limited blood flow, the tissues results in anaerobic metabolism since there is limited supply of oxygen. The anaerobic respiration produces a lot of carbon dioxide together with the inherent accumulations of lactic acid in the tissues (Morgan & Wheeler, 2013). There is impedance in the cardiac filling with shift in pressures between right and left ventricles, thus causing inadequate filling of the ventricle responsible for blood output. In this case,
…show more content…
The inherent mechanical obstruction in the blood output from the ventricles creates enormous impacts on tissues. Evidently, the areas of hypo-perfusion will have less oxygen for aerobic activities, therefore, diverting to anaerobic processes that produces carbon dioxide and lactic acids. In this situation, the cells will have increase inflammatory coupled with clotting and if shock is irreversible then extreme damage and death of tissues occurs. Moreover, the sac around the heart attracts more fluid and airs that result to increased pressure. The increase in pressure in pericardium prevents diastole movements of the ventricles impending outflow of blood to vital …show more content…
In this case, the reason for the change in pressure is accumulation of fluid or blood in the sac surrounding the heart (Morgan & Wheeler, 2013). The accumulation may occur due to infection or injury within the heart or pericardium. The obstructive shock results when the pressure in the pericardium increases constricting the ventricles, thus making output of blood impossible. The ventricle will, therefore, have decreased pressure that leads to impediment of blood flow to the vital

Related Documents

  • Improved Essays

    Septic Shock Case Studies

    • 566 Words
    • 3 Pages

    SHOCK Salve Aguilar West Coast University Pathophysiology Dr. Isabelle Tardif July 17, 2015 Abstract The case identifies the type of shock that CC encountered right after his traumatic accident. He was experiencing hypovolemic shock as evidenced by low blood pressure and increased heart rate.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Bio 204 Case Study Review

    • 1240 Words
    • 5 Pages

    What is the type of shock that you can expect in this person. What are some of the signs and symptoms of Shock? ( 1 point) Cardogenic shock and the symptoms are low blood pressure, rapid pulse, decreased urinated and altered mental status/ 9b Explain in detail the short term and Long term compensatory mechanisms that come into play as a result of the condition in…

    • 1240 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Rg's Ischaemic Case Study

    • 528 Words
    • 3 Pages

    He has no signs of ischaemia, tamponade and acute MI. He is tachycardic, having mild pulmonary oedema, RG is diagnosed to have cardiogenic shock because he had shown the pathophysiology of cardiogenic shock. He had shown decrease in cardiac output and low organ perfusion. Decrease in cardiac output will subsequently…

    • 528 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    For Crackles Case Study

    • 2317 Words
    • 10 Pages

    With the left ventricle’s strong pumping action, blood is ejected to the rest of the body via the aorta. When the left ventricle cannot efficiently pump blood out of the ventricle into the systemic circulation, pulmonary venous blood volume and pressure build up, leading to fluid accumulation in the lung instigating left-sided heart failure. Common causes of left-sided failure comprise excessive alcohol intake, history of heart attack leading to poor left-side function, infections in the heart muscle, hypertension, hypothyroidism, heart valves that are narrow or seep out and any other disease that has injured the heart muscle. The clinical manifestations include frothy or blood-tinged cough, bilateral basilar crackles, dyspnea, orthopnea, paroxysmal nocturnal dyspnea, low oxygen saturation, having palpitations, decreased urine output, weakness, fatigue, irregular rapid pulse and weight gain. In children where left-sided heart failure may be caused by heart birth defects, symptoms may include weight loss, poor feeding and failure to…

    • 2317 Words
    • 10 Pages
    Great Essays
  • Improved Essays

    Jem and Scout’s father, Atticus Finch, is Maycomb’s leading attorney while he is part of the Alabama State Legislature. Throughout the whole novel Atticus manages to teach his children and the community to stand up for one’s beliefs if faced with prejudice. He does this by defending a black man, Tom Robinson, who was wrongfully accused of raping a white woman. After losing his wife when Scout was only two years old, he devotes himself to his children despite the criticism from his neighbor about his children lacking discipline and proper guidance. The novel shows that Atticus's courtroom language creeps into the way that he talks to his kids, and so does his judicial concern with fairness.…

    • 207 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    The increase in pressure causes the mediastinum to shift towards the opposite side. This in turn compresses the other lung, the right atrium, and the venous blood supply to the heart. This shift in organs and the mediastinum can seen in a chest x-ray (Kuhajda et al., 2014). The compromised blood flow reduces preload leading to decreased cardiac output.…

    • 1531 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    Mandibular Nerve Journal

    • 1679 Words
    • 7 Pages

    Important Pathways to recognize prior to understanding clinical complications and scenarios: Lingual Nerve Pathway: CNV3 → Lingual Nerve (+Chorda Tympani from Facial Nerve) →Submandibular Ganglion Inferior Alveolar Nerve Pathway: CNV3 Mandibular Nerve → Inferior Alveolar Nerve →Inferior Dental Nerves → Mental Nerve (+ Nerve to Mylohyoid) Lingual Artery Pathway: External Carotid Artery→ Lingual Artery → Sublingual Artery, Deep Lingual Artery, Dorsal Lingual Artery Inferior Alveolar Artery Pathway: External Carotid Artery → Maxillary Artery → [Mandibular Foramen] → Inferior Alveolar Artery → [Mental Foramen] → Mental Artery Nerves surrounding Maxillary Sinus Pathway: CN V2 → Maxillary Nerve → [Foramen Rotundum] → into Pterygopalatine…

    • 1679 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Non-ST Segment Elevation Heart Attack A heart attack occurs when a blood vessel on the surface of the heart (coronary artery) is blocked and interrupts blood supply to the heart muscle. This causes that area of the heart muscle to permanently scar. This blockage may be caused by cholesterol buildup (atherosclerotic plaque) within a coronary artery. The plaque cracks which creates a rough surface where blood cells attach, forming a clot. Chest discomfort that happens with exertion and goes away with rest is called angina.…

    • 1482 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The sympathetic nervous system tries to compensate for the decreased blood flow by increasing heart rate and contractility by releasing epinephrine and norepinephrine; also causing vasoconstriction. The kidneys are highly sensitive to a drop in blood flow and are stimulated by vasoconstriction and a decreased level of carbon dioxide which activates the renin-angiotensin system to increases blood pressure and afterload. Angiotensin II stimulates the adrenal cortex to start secreting aldosterone to retain sodium and water to increase blood volume (Hinkle and Cheever, 2015). All of these mechanisms puts the body in to fluid overload causing stress on ventricular…

    • 1093 Words
    • 5 Pages
    Improved Essays
  • Improved Essays
    • 513 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Chest Trauma Paper

    • 911 Words
    • 4 Pages

    Gas exchange, coughing, and clearance of secretions may all become impaired, therefore vigilant respiratory care must be managed with flail chest and rib fractures. With severe hypoxemia and hypercarbia, intubation and mechanically ventilated with positive end-expiratory pressure, also known as PEEP may be required (Ignatavicius & Workman (2013), p. 683). PEEP improves oxygenation by means of maintain certain amount of pressure (5-15 cm H2O), within the chest cavity, therefore prevents alveoli from collapsing. PEEP enhances gas exchange and prevents atelectasis because the alveoli are kept partially inflated.…

    • 911 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Arteries are thick, with an elastic muscle layer to help cope with the high pressure of blood travelling through. As blood is travelling to and from the heart it is becoming oxygenated and deoxygenated. Blood is said to be bright red when travelling through the arteries because of the oxygen it is carrying, whilst deoxygenated blood is said to be dark red within the veins because the lack of oxygen in it. Another differences between arteries and veins is the location of them inside the body.…

    • 131 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Airway Case Study Nursing

    • 1310 Words
    • 6 Pages

    Question 1. A. AIRWAY– Maintaining a clear airway is always considered a high priority because the airway is essential for gas exchange. However, the patient has a patent airway (Ramkumar, 2011). The nursing strategy is to conduct an airway assessment “look, listen and feel” continuously to detect any changes.…

    • 1310 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The Cardiovascular System: An Overview of Blood, Vessels, and Heart – Healthy to Diseased The cardiovascular system, also known as the circulatory system, consists of the heart, blood, and blood vessels (Mertz, 2004). The cardiovascular system moves oxygenated blood and nutrients through to and removes carbon dioxide and wastes out of the body’s cells. (Miracle of the Human Body, 2010) I will provide an overview how a healthy cardiovascular system does this by first discussing the anatomy of it, in a healthy state, and then the physiology of it, also in a healthy state, this will include how the pulmonary and systemic circuits work.…

    • 1002 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    1. Dr. Baker spends a long time listening to (auscultating) Caleb’s heart. a. Where on the thoracic surface do you auscultate to the tricuspid, mitral (bicuspid), pulmonary, and aortic valves? The tricuspid valve is between the right atria and right ventricle.…

    • 1227 Words
    • 5 Pages
    Improved Essays