You are assessing an elderly patient with a decreased level of consciousness. Your assessment reveals the patient to have a patent airway, labored respirations, and weak, rapid pulses. The skin is pale, cool, and cyanotic in the extremities. You also observe diaphoresis and a delayed capillary refill. Vital signs for this patient are: heart rate of 136 bpm, blood pressure of 66/40 mmHg, and
respirations 40 and shallow. Auscultation of the lungs reveals profound crackles located throughout each lung. His temperature is 99°F. There is obvious JVD and pedal edema. Additionally, family states that the patient has an extensive cardiac and diabetic history. Based on this information you should suspect what kind of shock?
A) Hypotensive
B) Distributive
C) Hypovolemic
D) Cardiogenic
Answer: D
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