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what is the difference between compensated shock and decompensated shock

by Savanah Leannon V Published 3 years ago Updated 3 years ago

Compensated shock occurs when the body is trying to maintain near-normal vital signs and perfusion

Perfusion

In physiology, perfusion is the process of a body delivering blood to a capillary bed in its biological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through." Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are perfor…

, despite the injury to circulation and metabolism. Alternatively, decompensated shock is a state in which the body is no longer able to keep up and deterioration occurs. Click to see full answer.

With compensated shock, the body is able to take measures to maintain blood pressure, however as shock worsens, the body becomes unable to keep up. At this point, perfusion of vital organs is no longer maintained. Symptoms of decompensated shock include: Falling blood pressure (systolic of 90 mmHg or lower with adults)Dec 8, 2016

Full Answer

What are three signs and symptoms of decompensated shock?

What are three signs and symptoms of decompensated shock? Symptoms of decompensated shock include: Falling blood pressure (systolic of 90 mm Hg or lower with adults) Tachycardia and tachypnea. Low urine output. Labored and irregular breathing. Weak, thready or absent peripheral pulses.

What are signs of decompensated shock?

Signs of Decompensated shock. Falling blood pressure Labored or irregular breathing Ashen, mottled, or cyanotic skin Thready or absent peripheral pulses Dull eyes, dilated pupils Poor urinary output. Cardiogenic shock: Causes. Inadequate heart function Disease of muscle tissue

What are signs of compensated shock?

There are eight types of shock that we can encounter:

  • Hypovolemic – the most commonly encountered
  • Cardiogenic
  • Obstructive
  • Septic
  • Neurogenic
  • Anaphylactic
  • Psychogenic
  • Respiratory insufficiency

What causes increased heart rate in compensated shock?

What are the common causes of cardiogenic shock?

  • Inflammation of the heart muscle (myocarditis).
  • Heart valve infection (endocarditis)
  • Weak heart for some reason.
  • Drug overdose or intoxication with substances that can affect the heart’s ability to pump.

What is decompensated shock?

Decompensated shock is defined as “the late phase of shock in which the body's compensatory mechanisms (such as increased heart rate, vasoconstriction, increased respiratory rate) are unable to maintain adequate perfusion to the brain and vital organs.” It occurs when the blood volume decreases by more than 30%.Aug 20, 2020

What are common signs of compensated shock?

Patients with decompensated shock have cold, clammy extremities; a feeble or absent peripheral pulse; severe tachycardia (or bradycardia in late shock); a PP < 20 mm Hg; or a low systolic blood pressure (SBP) for age.

What causes compensated shock?

Epinephrine increases heart rate, makes the heart beat harder and constricts the blood vessels. This allows the body to maintain blood pressure and vital organ perfusion. This early stage of shock is called compensated shock.Apr 30, 2008

How do you treat decompensated shocks?

Group C patients with hypotensive (decompensated) shock should be managed more vigorously. Initiate IVF resuscitation with isotonic crystalloid or a colloid solution at 20 mL/kg as a bolus given over 15 minutes to bring patient out of shock as quickly as possible. If possible, check HCT, while initiating IVF treatment.

How does a child's body usually compensate when in compensated shock?

Skin perfusion In the shock state, the body also attempts to compensate by increasing SVR and shunting blood from the skin to more vital organs, such as the heart and brain.Jul 12, 2019

What are the 3 types of shock?

The main types of shock include:Cardiogenic shock (due to heart problems)Hypovolemic shock (caused by too little blood volume)Anaphylactic shock (caused by allergic reaction)Septic shock (due to infections)Neurogenic shock (caused by damage to the nervous system)Sep 23, 2019

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