Question

If the neck veins are flat and the central venous pressure is normal, what type of shock is present?

1) Hypovolemic shock
2) Cardiogenic shock
3) Distributive shock
4) Obstructive shock

Answer 1

Flat neck veins with normal central venous pressure suggest the presence of Hypovolemic shock, which is due to a significant loss of blood or fluid volume and is treated with fluid replacement and vasoactive medications.

Step-by-step explanation:

If the neck veins are flat and the central venous pressure is normal, the type of shock present is most likely Hypovolemic shock. This type of shock occurs due to the loss of blood or fluid volume in the body, which can result from hemorrhage, dehydration due to severe vomiting or diarrhea, burns, or conditions such as diabetes insipidus or ketoacidosis. The clinical presentation of hypovolemic shock includes symptoms like a rapid heart rate, a 'thready' pulse, cool and clammy extremities, and thirst. Treatment typically focuses on fluid replacement to restore the patient's volume status and may include the administration of vasoactive drugs to support blood pressure.