Chapter 13- Shock

Question 1

emergency care

Answer 1

maintain supine position
provide oxygen
give pt blankets
transport and treat additional injuries en route

Question 2

symptoms of compensated shock

Answer 2

weak, rapid pulse
cool, clammy skin
cyanosis around lips
pale
shallow, rapid breathing
nausea/vomiting
slow capillary refill

Question 3

symptoms of decompensated shock

Answer 3

falling BP
altered LOC
labored or irregular breathing
ashen, mottled, or cyanotic skin
thready or absent peripheral pulses
dull eyes, dilated pupils

Question 4

compensated shock

Answer 4

early stage, body can still compensate for blood loss

Question 5

decompensated shock

Answer 5

late stage shock, when BP is falling

Question 6

hypovolemic shock

Answer 6

caused by an inadequate amount of fluid or volume in the circulatory system

Question 7

results of psychogenic shock

Answer 7

vascular dilation
fainting
irregular heartbeat

Question 8

late sign of anaphylactic shock

Answer 8

cyanosis

Question 9

neurogenic shock

Answer 9

results from a high spinal cord injury

Question 10

signs of neurogenic shock

Answer 10

Absence of sweating below level of injury
Low HR with hypotension
Normal warm skin
bradychardia
signs of a neck injury

Question 11

5 kinds of distributive shock

Answer 11

septic shock
neurogenic shock
anaphylactic shock
psychogenic shock
hypovolemic shock

Question 12

pulmonary embolism

Answer 12

a blood clot that blocks flow of blood to pulmonary vessels

can prevent blood from being pumped to the right side of the heart to the left

Question 13

tension pneumothorax

Answer 13

when the air of a pneumothorax shifts the organs toward uninjured side of chest

Question 14

symptoms of tension pneumothorax

Answer 14

drop in BP
anxiety
shortness of breath
HR and respiratory rate increase and become shallower
increased or absent lung sounds on affected side
cyanosis
late sign = tracheal deviation

Question 15

cardiac tamponade

Answer 15

when blood leaks into the space between the pericardium (sac around heart) and the pericardial sac

Question 16

pericardial effusion

Answer 16

collection of fluid between the pericardial sac and the myocardium (muscular tissue of heart)

Question 17

signs of obstructive shock

Answer 17

JVD
muffled heart sounds
dropping systolic BP with rising diastolic

Question 18

cardiogenic shock

Answer 18

Caused by inadequate function of heart or pump failure

Question 19

edema

Answer 19

presence of abnormally large amounts of fluid between cells in body tissues, causing swelling

Question 20

pulse pressure equation

Answer 20

systolic - diastolic

Question 21

symptoms fo septic shock

Answer 21

warm skin or fever
tachycardia
low BP

Question 22

symptoms of hypovolemic shock

Answer 22

rapid, weak pulse
low BP
change in mental status
cyanosis
cool, clammy skin
increased respiratory rate