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Shock

Shock Overview

The word shock is used differently by the medical community and the general public. The connotation by the public is an intense emotional reaction to a stressful situation or piece of news. Its medical meaning is much different.

Medically, shock is defined as a condition where the tissues in the body don't receive enough oxygen and nutrients to allow the cells to function. This ultimately leads to cellular death, progressing to organ failure and finally, to whole body failure and death.

How the body works

Cells need two things to function: oxygen and glucose. This allows the cells to generate energy and do their specific jobs.

Oxygen in the air enters the body through the lungs; where oxygen molecules cross into the smallest blood vessels, the capillaries, and are picked up by red blood cells and attached to hemoglobin molecules. The red blood cells are pushed through the body by the actions of the pumping heart and deliver the oxygen to cells in all the tissues of the body. The hemoglobin then picks up carbon dioxide, the waste product of metabolism, where it is then taken back to the lungs and breathed back into the air, whereby the whole cycle starts again.

Glucose is generated in the body from the foods we eat. It travels in the blood stream as well, and using an insulin molecule that "opens the door," it enters the cell to provide energy for cellular metabolism.



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Shock

Congestive Heart Failure Overview

The heart is a pump that works together with the lungs. It pumps blood in 2 ways.

  • It pumps blood from the heart to the lungs to pick up oxygen. The oxygenated blood returns to the heart.

  • It then pumps blood out into the circulatory system of blood vessels that carry blood through the body.
The heart consists of 4 chambers.
  • The upper chambers are called atria, and the lower chambers are called ventricles.

  • The right atrium and ventricle receive blood from the body through the veins and then pump the blood to the lungs.

  • The left atrium and ventricle receive blood back from the lungs and pump it out the aorta into the arteries, feeding all organs and tissues of the body.

  • Because the left ventricle has to pump blood through the entire body, it is a stronger pump than the right ventricle.
Heart failure...

Read the Congestive Heart Failure article »



Read What Your Physician is Reading on eMedicine

Shock, Distributive »

Shock is defined as a clinical syndrome due to inadequate tissue perfusion that results in end-organ dysfunction.

Read More on eMedicine »

Medical Dictionary