PANCE Review Flashcards
1
Q
4 types of shock
A
- Hypovolemic
- Cardiogenic
- Obstructive
- Distributive
2
Q
Examples of hypovolemic shock
A
- Hemorrhage
- Loss of plasma
- Loss of fluid and electrolytes
3
Q
Examples of cardiogenic shock
A
- MI
- Dysrhythmia
- HF
- Valvular dysfunction
- HTN
- Myocarditis
- Cardiomyopathies
4
Q
Examples of obstructive shock
A
- Tension pneumo
- Pericardial tamponade
- Obstructive valvular dz
- Massive PE
5
Q
Examples of distributive shock
A
- Septic shock (bacteremia)
- SIRS
- Neurogrnic shock (spinal cord injury)
- Anaphylaxis
6
Q
Mechanism of cardiogenic shock
A
Defective cardiac cycle or output
7
Q
Mechanism of hypovolemic
A
Decreased intravascular volume
8
Q
Mechanism of distributive shock
A
Excessive vasodilation
9
Q
Mechanism of obstructive shock
A
Blocked blood flow to/from heart
10
Q
RF for septic shock
A
- DM
- Immunosuppression
- Extremes of age
- Recent invasive procedure
11
Q
Presentation of shock
A
- Hypotension
- Tachycardia
- AMS
- Oliguria/anuria
- Insulin resistance
- Metabolic acidosis
- Slow cap refill
- Decr. pulses
