Louisa Wall is congratulated by Labour leader Davis Shearer and MP Jacinda Ardern after the Marriage Amendment Bill was passed in Parliament. Photo / Mark Mitchell. Parliament has just passed a law legalising gay marriage, 77 votes to 44, amid loud shows of jubilation from the floor and the gallery.The declaration of the vote was followed by a waiata. MPs held a conscience vote on the private member's bill sponsored by gay Labour MP Louisa Wall.arliament has just passed a law legalising gay marriage, 77 votes to 44, amid loud shows of jubilation from the floor and the gallery. The declaration of the vote was followed by a waiata.
Aka: Cardiogenic Shock, Acute Pulmonary Edema Management, Congestive Heart Failure Exacerbation Management, Acute Decompensated Congestive Heart Failure, Acute Heart Failure.
Shock 3 Distributive shock is usually caused by an acute insult, e.g. spinal trauma or anaphylaxis, and presents with profound hypotension and tachycardia. Obstructive shock is due to increased afterload of the right ventricle (saddle embolus) or left ventricle (critical coarctation).Patients often present with signs / symptoms similar to Cardiogenic shock â tachycardia, tachypnea, hypotension, decreased mental status, and poor urine output. Low mixed venous oxygen saturation (defined below) is a hallmark of uncompensated shock. Mixed venous oxygen saturation [MvO 2 ] is a measure of the oxygen extraction by peripheral tissue. A low MvO 2 indicates inadequate oxygen delivery, increased oxygen consumption or both.