Cellular Response to Shock
ßTissue
perfusion
ß
ßNa+ Pump
Function
ßATP
synthesis
Anaerobic
metabolism
ÝCellular edema
ß Vascular volume
Impaired cellular
metabolism
ßO2 
use
Ý Intracellular Na+
& water
Impaired
glucose
usage
Stimulation of
clotting cascade &
inflammatory
response