adult health

Question 1

Signs of shock:
Hemodynamic monitoring (BP, MAP, CVP) in all shocks

Answer 1

Detect shock early by monitoring
for hypotension, decreased urine output, and
altered mental status.

Question 2

Hypovolemic shock:

Answer 2

The priority in hypovolemic
shock is to stop the source of bleeding or fluid loss
and then administer IV fluids to restore fluid volume.

Question 3

Septic shock:

Answer 3

The priority in septic shock
is administering an IV fluid bolus of 30 mL/kg and collecting blood cultures before giving antibiotics.

Question 4

Vasopressors:

Answer 4

If IV fluids fail to correct
hypotension from septic shock, use vasopressors (e.g., norepinephrine) to achieve
a MAP >65 mmHg.

Question 5

Anaphylactic shock:

Answer 5

The priority in anaphylactic shock is to immediately administer IM epinephrine.

Question 6

Cardiogenic shock

Answer 6

Inotropes (dobutamine)
Diuretics

Question 7

Neurogenic shock

Answer 7

Vasopressors (phenylephrine)
Atropine for severe bradycardia

Question 8

Obstructive shock Treat underlying cause:

Answer 8

PE: thrombolytics
Tension pneumothorax: Needle decompression
Cardiac tamponade: Pericardiocentesis